Individual
AUBREY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0062137
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434159
—
CT
05
—
00612800
—
MD
05
—
010237092
—
VA
05
—
02730367
—
NY
05
—
038877
—
AZ
05
—
100511920
—
NV
05
—
1018044950001
—
PA
05
—
1459216
—
LA
05
—
2003709990A
—
KS
05
—
200806530
—
IN
05
—
207588500
—
MO
05
—
20806530
—
IN
05
—
235975740A
—
GA
05
—
274205
—
SC
01
—
3154394
CIGNA
PA
05
—
4490744
—
TN
01
—
510-03185
BLUE CROSS BLUE SHIELD ALABAMA
AL
05
—
5902869
—
NC
01
—
644921-01
CAREFIRST BLUE CROSS BLUE SHIELD
MD
05
—
77339860
—
CO
05
—
841328305
—
MI
05
—
8472870
—
WA
01
—
9372608
PRIVATE HEALTHCARE SYSTEMS
MD
05
—
MD5457
—
AK
Enumeration date
11/17/2005
Last updated
12/20/2018
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