Individual
MRS. CAITLYN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 WESTERN AVE, LYNN, MA 01910-5927
(781) 594-2218
Mailing address
1000 WESTERN AVE, LYNN, MA 01910-0001
(781) 594-2218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2301446
MA
363L00000X
Nurse Practitioner
Primary
RN2301446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2301446
RN LICENSE NUMBER
MA
Enumeration date
03/18/2020
Last updated
10/28/2022
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