Individual
MS. KATONNA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
(314) 268-6474
Mailing address
1347 MCCAUSLAND AVE, SAINT LOUIS, MO 63117-1945
(314) 646-1182
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
069735
MO
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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