Individual
MRS. THERESIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 E 6TH ST, MESA, AZ 85203-7104
(480) 427-3000
Mailing address
2270 WEATHERSTONE CIR SE, CONYERS, GA 30094-2075
(678) 620-6373
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
250731
AZ
Other
Enumeration date
07/28/2020
Last updated
03/07/2023
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