Individual
MRS. SAMANTHA SUE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 486-4431
Mailing address
225 LAWRENCE AVE, ISHPEMING, MI 49849-2905
(906) 281-1930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704303598NSA230FH
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2023
Last updated
06/28/2023
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