Individual
CHELSEA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(734) 786-2317
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(734) 786-2317
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257278
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704257278
MICHIGAN LICENSE
MI
Enumeration date
05/28/2013
Last updated
05/28/2013
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