Individual
MICHELLE A RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-PCNP
Contact information
Practice address
1440 W DUNKERTON RD, WATERLOO, IA 50703-9648
(319) 291-2455
(319) 291-2464
Mailing address
1440 W DUNKERTON RD, WATERLOO, IA 50703-9648
(319) 291-2455
(319) 291-2464
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG02200055
IA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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