Individual
VENESSA K RICHARDS-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 CAMPBELL BLVD, NOTTINGHAM, MD 21236-4983
(866) 389-2727
Mailing address
5230 CAMPBELL BLVD, NOTTINGHAM, MD 21236-4983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC003734
MD
Other
Enumeration date
06/12/2021
Last updated
06/03/2022
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