Individual
MS. MICHELE LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 359-2162
Mailing address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 359-2162
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350310
NY
Other
Enumeration date
08/13/2010
Last updated
02/22/2016
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