Individual
SARENA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
153 1/2 BROADWAY ST, MELROSE PARK, IL 60160-3702
(708) 345-8960
Mailing address
4314 N MOZART ST UNIT 1, CHICAGO, IL 60618-1579
(847) 224-0751
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209025950
IL
363LP2300X
Primary Care Nurse Practitioner
235130
LA
Other
Enumeration date
09/13/2022
Last updated
01/30/2025
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