Provider Demographics
NPI:1891074753
Name:RICHARD, DANIEL (ACNP-BC, FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:RICHARD
Suffix:
Gender:M
Credentials:ACNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2118
Mailing Address - Country:US
Mailing Address - Phone:978-361-6650
Mailing Address - Fax:
Practice Address - Street 1:24 STILES RD STE 201A
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2878
Practice Address - Country:US
Practice Address - Phone:978-361-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN260716363LA2100X
NH065009-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care