Individual
CHRISTY JOLENE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1990 MCCULLOCH BLVD N STE 109A, LAKE HAVASU CITY, AZ 86403-5749
(928) 208-1481
(928) 505-6474
Mailing address
1990 MCCULLOCH BLVD N STE 109A, LAKE HAVASU CITY, AZ 86403-5749
(928) 208-1481
(928) 505-6474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237287
AZ
363LA2100X
Acute Care Nurse Practitioner
237287
AZ
Other
Enumeration date
08/25/2023
Last updated
12/01/2025
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