Individual
CHRISTINA LEE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011007620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679863617
—
MO
01
—
P01135364
RAILROAD MEDICARE
MO
Enumeration date
04/11/2011
Last updated
01/07/2015
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