Individual
MS. MARYANN CATHERINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5617 MAXWELL PL, WILMINGTON, NC 28409-2966
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 16310, WILMINGTON, NC 28408-6310
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
356139
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006630
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90853
MAGNA CARE
NY
Enumeration date
06/27/2011
Last updated
04/29/2014
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