Individual
STEPHANIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 RESERVOIR DR, ATHOL, MA 01331-4901
(978) 248-5135
Mailing address
40 ELY RD, DORCHESTER, MA 02124-5112
(617) 288-3099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2266383
MA
Other
Enumeration date
02/02/2017
Last updated
01/23/2020
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