Raven Richardson, FNP
NPI #1083375380 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1083375380
- Entity Type
- Individual
- Name
- Raven Richardson, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jan 7, 2022
- Last Updated
- Jul 20, 2024
Practice Location
- Address
- 624 E 9 MILE RD
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-1842
- Phone
- (248) 629-7497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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