Provider Demographics
NPI:1972652766
Name:RICHARDSON-BEAIRD, LINDA CLAIRE (MA RN CNS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CLAIRE
Last Name:RICHARDSON-BEAIRD
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Gender:F
Credentials:MA RN CNS
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Mailing Address - Street 1:4601 EXCELSIOR BLVD
Mailing Address - Street 2:SUITE 501B
Mailing Address - City:ST. LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:612-581-6918
Mailing Address - Fax:952-933-3511
Practice Address - Street 1:4601 EXCELSIOR BLVD
Practice Address - Street 2:SUITE 501B
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:612-581-6918
Practice Address - Fax:952-933-3511
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2008-05-22
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Provider Licenses
StateLicense IDTaxonomies
MNR0639989364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult