Individual
NAOMI R RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3050
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3050
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
187075
NC
367A00000X
Advanced Practice Midwife
Primary
18746
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18746
MEDICAL LICENSE
SC
05
—
MW0249
—
SC
01
—
Q57755
MEDICARE
SC
Enumeration date
08/14/2006
Last updated
06/30/2021
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