Provider Demographics
NPI:1780801076
Name:RICHARDSON-HALL, MARCIA KAREN (BSN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:KAREN
Last Name:RICHARDSON-HALL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 CHESNEE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-3344
Mailing Address - Country:US
Mailing Address - Phone:919-875-9141
Mailing Address - Fax:
Practice Address - Street 1:3805 CHESNEE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3344
Practice Address - Country:US
Practice Address - Phone:919-875-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161938163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical