Individual
MS. REBEKAH A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-ADULT
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 601-4486
(410) 601-9014
Mailing address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 601-4486
(410) 601-9014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R187779
MD
Other
Enumeration date
03/03/2011
Last updated
04/09/2019
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