Richardson, Raven
Richardson, Raven is an sole proprietor health care provider with primary practice located at 624 E 9 Mile Rd , Hazel Park MI 48030-1842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Raven can be contacted via phone (248) 629-7497.Contact Information
Primary practice address
624 E 9 Mile Rd
Hazel Park MI 48030-1842
Phone: (248) 629-7497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704322492 | Michigan |
Profile Details
| NPI number | 1083375380 |
|---|---|
| LBN Legal business name | Richardson, Raven |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2022 |
| Last updated | Jul 20th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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