Individual
ALEXANDRA LYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
127 W 29TH ST, BAYONNE, NJ 07002-2094
(201) 674-9597
Mailing address
127 W 29TH ST, BAYONNE, NJ 07002-2094
(201) 674-9597
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ14850600
NJ
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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