Individual provider · Type 1 NPI
Shaundrea Faulk Richardson, CPNP
Pediatric Nurse Practitioner · Fort Lee, VA
NPI number
1962717173
Active
Practice location
700 24th St, Wilkerson Pediatric Clinic
Fort Lee, VA 23801-1716
Fax (804) 734-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0024168808 (VA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962717173
Shaundrea Faulk Richardson, CPNP's National Provider Identifier is 1962717173, issued on Aug 11, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Lee, VA. The record was last updated on Mar 27, 2025.