Provider Demographics
NPI:1477710382
Name:RICHARDS, ANN (APRN BC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 PARK LAUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:E DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05346-9579
Mailing Address - Country:US
Mailing Address - Phone:802-380-3960
Mailing Address - Fax:
Practice Address - Street 1:45 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6035
Practice Address - Country:US
Practice Address - Phone:802-251-0889
Practice Address - Fax:802-254-9426
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101-0028922163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent