Organization · Type 2 NPI
Diane Richardson Nurse Practitioner LLC
Psychiatric/Mental Health Nurse Practitioner · Grandville, MI
NPI number
1487776332
Active
Practice location
0141 Port Sheldon Rd
Grandville, MI 49418
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...
About NPI 1487776332
Diane Richardson Nurse Practitioner LLC's National Provider Identifier is 1487776332, issued on Apr 4, 2007. 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 Nov 4, 2014.