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Individual

MS. VANESSA EILEEN RICHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CRNP

Contact information

Practice address
1068 W BALTIMORE PIKE, 3RD FLOOR, WEST WING, MEDIA, PA 19063-5104
(484) 227-3515
Mailing address
1068 W BALTIMORE PIKE, 3RD FLOOR, WEST WING, MEDIA, PA 19063-5104
(484) 227-3515

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010253
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232359401
MAIN LINE HEALTHCARE TX ID
PA
Enumeration date
12/01/2010
Last updated
10/31/2013
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