Individual
MERLENE T RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3195 GRANT ST, GARY, IN 46408-1003
(219) 887-0900
Mailing address
3195 GRANT ST, GARY, IN 46408-1003
(219) 887-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28156319A
IN
Other
Enumeration date
12/26/2021
Last updated
03/28/2022
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