| Doctor Name: | MRS. TAMMY RICHARDSON |
| NPI Number: | 1205818937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 0024166360 |
| Business Practice Address: | 2949 Front St Richlands, VA - 246412010 |
| Business Phone Number: | 2765966634 |
| Business Fax Number: | 2765966635 |
| Mailing Address: | 2949 West Front Street, Suite 2000 RICHLANDS |
| State: | VA |
| Postal Code: | 24641 |
| Phone Number: | 2765966634 |
| Fax Number: | 2765966635 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 01/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024166360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |