Individual provider · Type 1 NPI
Avery Mae Richard
Psychiatric/Mental Health Nurse Practitioner · Newton, MA
NPI number
1104629989
Active
Practice location
233 Needham St Ste 430
Newton, MA 02464-1534
Mailing address
PO Box 1343
Westborough, MA 01581-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2293755 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2293755 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1104629989
Avery Mae Richard's National Provider Identifier is 1104629989, issued on Mar 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newton, MA. The record was last updated on Aug 22, 2025.