Provider Demographics
NPI:1841484920
Name:RICHARDS, VICTORIA LEE (RN, MSN NP-C)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LEE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:RN, MSN NP-C
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Mailing Address - Street 1:520 COBB ST
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2588
Mailing Address - Country:US
Mailing Address - Phone:231-775-6521
Mailing Address - Fax:231-775-1366
Practice Address - Street 1:520 COBB ST
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-2588
Practice Address - Country:US
Practice Address - Phone:231-775-6521
Practice Address - Fax:231-775-1366
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2015-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704157275363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health