Individual
ROSETTA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 618-0401
(347) 479-1303
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
F303125 / 436475
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02728238
—
NY
Enumeration date
08/20/2006
Last updated
04/05/2021
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