| Doctor Name: | MISS ANNE-MARIE R RICHMOND |
| NPI Number: | 1205992906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 85001002 |
| Business Practice Address: | 8 Doctors Park Gibson City, IL - 609362000 |
| Business Phone Number: | 2177848580 |
| Business Fax Number: | 2177848586 |
| Mailing Address: | 416 E 16th Street, GIBSON CITY |
| State: | IL |
| Postal Code: | 60936 |
| Phone Number: | 2177848468 |
| Fax Number: | 2177848468 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 85001002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |