Individual
MRS. VICKI TERRY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6910
(910) 609-5219
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004199
NC
Other
Enumeration date
12/11/2008
Last updated
02/21/2017
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