Individual
TERESA A RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
763 JOHNSONBURG ROAD, ERPG ANESTHESIA SERVICES, ST. MARYS, PA 15857
(814) 788-8562
(814) 788-8387
Mailing address
763 JOHNSONBURG ROAD, ERPG ANESTHESIA SERVICES, ST. MARYS, PA 15857
(814) 788-8562
(814) 788-8387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101282013
—
PA
01
—
32295
CRNA LICENSE NUMBER
PA
Enumeration date
06/16/2005
Last updated
08/04/2015
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