Individual
AUTUMN L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 530-6900
Mailing address
1847 N 66TH ST, SCOTTSDALE, AZ 85257-3140
(480) 375-1938
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
288293
AZ
Other
Enumeration date
08/18/2020
Last updated
03/11/2024
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