Provider Demographics
NPI:1154060309
Name:RICHARDSON, BARBARA CHERON
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:CHERON
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 CLIFFBROOK LN APT J
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-2433
Mailing Address - Country:US
Mailing Address - Phone:804-503-0887
Mailing Address - Fax:
Practice Address - Street 1:1831 CLIFFBROOK LN APT J
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2433
Practice Address - Country:US
Practice Address - Phone:804-503-0887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion