Individual
MS. SARAH SHADE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST APC 6, PROVIDENCE, RI 02903-4923
(401) 793-9166
(401) 444-2788
Mailing address
117 ELLENFIELD ST, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
RN49477
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN03205
RI
Other
Enumeration date
07/20/2022
Last updated
08/24/2022
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