Individual
MS. MARY GRACE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
500 CHERRY STREET, BLUEFIELD, WV 24701
(304) 327-1680
(304) 327-1691
Mailing address
1926 HEMLOCK HILL, BLUEFIELD, WV 24701-4500
(304) 325-6487
(304) 325-6487
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27869
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065382000
—
WV
Enumeration date
09/26/2006
Last updated
07/09/2007
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