Individual
MS. LYNN ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
5637 BROOKLYN BLVD, SUITE 200, BROOKLYN CENTER, MN 55429-3081
(763) 971-2959
(763) 971-2959
Mailing address
5637 BROOKLYN BLVD, SUITE 200, BROOKLYN CENTER, MN 55429-3081
(763) 971-2959
(763) 971-2959
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0661711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17F32RI
BCBS
—
05
—
448255700
—
MN
01
—
5379824
CIGNA
—
01
—
6247871
UNITED BEHAVIORAL HEALTH
—
Enumeration date
09/26/2006
Last updated
11/26/2008
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