Provider Demographics
NPI:1629018924
Name:RICHMOND, JUNE A (APN)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:A
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-0085
Mailing Address - Country:US
Mailing Address - Phone:609-945-5724
Mailing Address - Fax:
Practice Address - Street 1:613 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1528
Practice Address - Country:US
Practice Address - Phone:609-945-2565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN010617600363LA2200X
NJ26NJ00064700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQ84211Medicare UPIN
NJQ84211Medicare UPIN