Individual
HEIDI RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3245
Mailing address
2406 BURNETTE DR, GREENSBORO, NC 27406-9532
(336) 254-5188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
302499
NC
163W00000X
Registered Nurse
302499
ND
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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