Individual
MRS. AMELITA L RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5791
(203) 576-5022
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5791
(203) 576-5022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
004339
CT
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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