Individual
THERESA JEAN RICHARDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
710 N FERN ST, RICHLAND CENTER, WI 53581-1127
(608) 647-7153
Mailing address
23921 STATE HWY 58, RICHLAND CENTER, WI 53581-6647
(608) 585-2805
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38222100
—
WI
Enumeration date
04/26/2006
Last updated
07/08/2007
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