Mary E. Richardson NNP-BC
Critical Care Neonatal Nurse Practitioner in Royal Oak, MI(View on Map)
Full Name
Mary Emeline Richardson NNP-BC
NPI Number
1356127484
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/05/2023
Specialties
(Taxonomies)Licenses
State
Michigan
Michigan
License Number
4704303268
4704303268NSA230ON
Contact
Information
Purpose
Mailing
Location
Address
26901 BEAUMONT BLVD STE 3D
3601 W 13 MILE RD
City
Southfield
Royal Oak
State
MI
MI
Postal Code
48033-3849
48073-6712
Country
US
US
Telephone Number
N/A
(248) 898-5000
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mrichardson6557121@direct.beaumont.edu
Endpoint Description
Unknown
Use
Direct
Content Type
Unknown
Affiliation
N
Endpoint Location
3601 W 13 Mile RdRoyal Oak, MI480736712US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/13/2023