Individual
HEATHER ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N5700 HILLVIEW LN, HORICON, WI 53032-9775
(920) 319-0817
Mailing address
N5700 HILLVIEW LN, HORICON, WI 53032-9775
(920) 319-0817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193715
WI
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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