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Individual

HEATHER LEIGH RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4100
(336) 716-4649
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4649
(336) 716-9916

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
263284
NC
363L00000X
Nurse Practitioner
Primary
26526
SC
363L00000X
Nurse Practitioner
5014041
NC
363L00000X
Nurse Practitioner
F01210773
NC

Other

Enumeration date
12/31/2020
Last updated
08/10/2026
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