Individual
FAITH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4544 LOPEZ DR, FERNDALE, WA 98248-9529
(360) 384-4386
Mailing address
4544 LOPEZ DR, FERNDALE, WA 98248-9529
(360) 384-4386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006923
WA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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