Provider Demographics
NPI:1437783008
Name:RICHARDS, VERNA VICTORIA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:VERNA
Middle Name:VICTORIA
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MORTON PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4506
Mailing Address - Country:US
Mailing Address - Phone:917-658-9480
Mailing Address - Fax:
Practice Address - Street 1:142 MORTON PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4506
Practice Address - Country:US
Practice Address - Phone:917-658-9480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY555490-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse