Individual provider · Type 1 NPI
Diane K. Richardson, NP
Psychiatric/Mental Health Nurse Practitioner · Grandville, MI
NPI number
1093781858
Active
Practice location
141 Port Sheldon Rd SW
Grandville, MI 49418-2149
Fax (616) 235-2099
Mailing address
PO Box 1767
Grand Rapids, MI 49501-1767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704110245 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1093781858
Diane K. Richardson, NP's National Provider Identifier is 1093781858, issued on Feb 23, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grandville, MI. The record was last updated on Oct 3, 2011.