Individual
JAMIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-1175
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
(304) 329-1175
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102842
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
76117
NM
367500000X
Certified Registered Nurse Anesthetist
96208
WV
367500000X
Certified Registered Nurse Anesthetist
APRN96208
WV
367500000X
Certified Registered Nurse Anesthetist
CRNA 1064
AZ
Other
Enumeration date
08/12/2014
Last updated
12/20/2023
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