Individual
MS. MARTHA ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9405 N OAK TRFY, KANSAS CITY, MO 64155-2233
(816) 412-2900
(816) 412-2915
Mailing address
8029 N FLORA AVE, KANSAS CITY, MO 64118-8216
(618) 889-4654
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2013018583
MO
Other
Enumeration date
10/16/2006
Last updated
01/31/2014
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