Doctor Name: | MRS. MEGAN RICHARDSON |
NPI Number: | 1699118786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AC001133 |
Business Practice Address: | 11717 Old National Pike Suite #8 New Market, MD - 217746154 |
Business Phone Number: | 3018827489 |
Business Fax Number: | 3018827520 |
Mailing Address: | 11717 Old National Pike, Suite #8 NEW MARKET |
State: | MD |
Postal Code: | 217746154 |
Phone Number: | 3018827489 |
Fax Number: | 3018827520 |
NPI Enumeration Date: | 04/09/2013 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AC001133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |