Individual
COURTNEY MICHELE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2476 RAVENEL DR, COLUMBUS, OH 43209-3307
(614) 439-4650
Mailing address
2476 RAVENEL DR, COLUMBUS, OH 43209-3307
(614) 439-4650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
511378
OH
164W00000X
Licensed Practical Nurse
PN.140731
OH
Other
Enumeration date
08/06/2010
Last updated
02/16/2023
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