Individual
MRS. MICHELLE WILLIAMS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
(910) 332-0710
Mailing address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
(910) 332-0710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-03364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194918052
NPI
NC
Enumeration date
08/23/2007
Last updated
04/24/2019
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