Individual
MR. DOUGLAS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
310 BAKER AVE, CONCORD, MA 01742-2140
(978) 287-8250
Mailing address
310 BAKER AVE, CONCORD, MA 01742-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2325307
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2325307
MA
Other
Enumeration date
08/15/2024
Last updated
12/04/2024
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