Individual
MRS. HOLLY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2723 S STATE ST, ANN ARBOR, MI 48104-6188
(516) 505-7200
(949) 419-3482
Mailing address
2723 S STATE ST, ANN ARBOR, MI 48104-6188
(516) 505-7200
(949) 419-3482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704330273
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704330273
MI
Other
Enumeration date
04/02/2020
Last updated
10/16/2023
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