Individual
JEANETTE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34 S RAILROAD ST, TAMAQUA, PA 18252-1927
(570) 668-0180
(570) 668-6975
Mailing address
34 S RAILROAD ST, TAMAQUA, PA 18252-1927
(570) 668-0180
(570) 668-6975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010465
PA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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