Individual
SHANNAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010
(202) 877-7000
Mailing address
106 IRVING ST NW STE 205, WASHINGTON, DC 20010-2993
(203) 417-3126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1023957
DC
Other
Enumeration date
08/12/2014
Last updated
08/29/2019
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