Individual
COURTNEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 ROSEBROOK WAY, WAREHAM, MA 02571-1138
(508) 273-4950
(508) 273-4955
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100969
MA
363AM0700X
Medical Physician Assistant
029309
NY
Other
Enumeration date
12/14/2022
Last updated
07/24/2025
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