Individual
CHESTER JOSIAH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
193 MAIN ST STE 14, NORWAY, ME 04268-5647
(207) 294-7096
(207) 393-3470
Mailing address
32 WOODLAWN AVE, PORTLAND, ME 04103-3510
(207) 249-9747
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP231412
ME
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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