Female

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)

Code

363LN0005X

Primary Taxonomy

Yes

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

Provider Address

Other Critical Care Neonatal Nurse Practitioner in Royal Oak, Michigan:

Female

Erin Reimer MSN, NNP-BC

Royal Oak, MI

Specialty: Critical Care Neonatal Nurse Practitioner (Primary)