Individual
MRS. CAROL MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1525 W CARO RD, CARO, MI 48723-9686
(989) 672-2100
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704109872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704109872
NURSING LICENSE
MI
Enumeration date
12/14/2006
Last updated
03/07/2023
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