| NPI | 1528611712 |
|---|---|
| Other Name | SHANA SE'RAE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1032762) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 0201923) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-04-24 |