Individual
PATRICK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 683-2280
Mailing address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 683-2280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12.008266
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
279118
AZ
Other
Enumeration date
06/20/2019
Last updated
09/26/2023
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