Mrs. Katrina Denise Richardson NP

NPI No. 1053399337 - Nurse Practitioner

 

Contacts & Locations

Practice Address

  • 4777 E Outer Dr
    2935 West. Grand Blvd.
    Detroit, Michigan 48234, US
  • Phone: (313) 369-1960

Office Address

  • 4777 E Outer Dr
    2935 West. Grand Blvd.
    Detroit, Michigan 48234, US
  • Phone: (313) 369-1960

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Katrina Denise Richardson Information

The 1053399337 NPI number belongs to Mrs. Katrina Denise Richardson NP. Katrina Denise Richardson is an Individual and working at 4777 E Outer Dr, Detroit MI 48234, you can also contact her via phone number (313) 369-1960. Katrina Denise Richardson's specialty is listed as Nurse Practitioner.

About NPI No.

  • NPI Number: 1053399337 (Individual)
  • Name: Katrina Denise Richardson
  • Credential: NP
  • Pecos: 2961423173
  • Enrollment: I20051215000641
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 363L00000X
  • Taxonomy specialization: Nurse Practitioner
  • Primary taxonomy: Yes
  • License

  • License number: 4704212072
  • License state: Michigan State License
  • Enumeration date: January 6, 2006
  • Last Update date: August 19, 2008

Katrina Denise Richardson is not a Sole Proprietor.

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