Individual
MARISSA ERIN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 BINGHAM AVE, OCEAN, NJ 07712-4762
(732) 775-9075
Mailing address
301 BINGHAM AVE, OCEAN, NJ 07712-4762
(732) 775-9075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01338000
NJ
Other
Enumeration date
07/13/2022
Last updated
11/14/2024
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