Individual
RENATA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4701 WOODHAVEN DR, LINCOLN, NE 68516-1263
(402) 440-5268
Mailing address
PO BOX 67295, LINCOLN, NE 68506-7295
(402) 440-5268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113659
NE
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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