Provider Demographics
NPI:1760269336
Name:RICHARDSON, ANGELA ANN (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:ANN
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 RAPHAEL RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1789
Mailing Address - Country:US
Mailing Address - Phone:302-222-1670
Mailing Address - Fax:
Practice Address - Street 1:1900 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3926
Practice Address - Country:US
Practice Address - Phone:302-222-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0041377163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool