Provider Demographics
NPI:1679170989
Name:RICHARDS, AUBREE MARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:AUBREE
Middle Name:MARIE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 N HERSHEY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9752
Mailing Address - Country:US
Mailing Address - Phone:717-433-6814
Mailing Address - Fax:
Practice Address - Street 1:253 N HERSHEY RD STE 2
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9752
Practice Address - Country:US
Practice Address - Phone:717-433-6814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022649363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner