Individual
MS. TRACY LYNETTE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6922 OHIO AVE, CINCINNATI, OH 45236-3506
(513) 793-2090
Mailing address
3183 SUNNYHOLLOW LN, CINCINNATI, OH 45239-7152
(513) 462-0222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0032089
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
0032089
OH
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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