| NPI | 1275924433 |
|---|---|
| Former Name | NEELY RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000992) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007466) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-02-26 |