Individual
TRACEY RICHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3300 RIVERMONT AVE FL 2, LYNCHBURG, VA 24503-2030
(434) 200-5999
(434) 200-1673
Mailing address
3300 RIVERMONT AVE FL 2, LYNCHBURG, VA 24503-2030
(434) 200-1673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186338
VA
Other
Enumeration date
02/13/2023
Last updated
03/11/2025
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