Individual
VIVIAN YVETTE RICHBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10710 CHARTER DR STE 120, COLUMBIA, MD 21044-3258
(410) 772-7345
(410) 772-8860
Mailing address
10710 CHARTER DR STE 120, COLUMBIA, MD 21044-3258
(410) 772-7345
(410) 772-8860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R175638
MD
Other
Enumeration date
11/07/2006
Last updated
02/25/2019
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