Raven Richardson, FNP | |
1077 Willow Ln, Birmingham, MI 48009-1252 | |
(248) 644-9269 | |
Not Available |
Full Name | Raven Richardson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1077 Willow Ln, Birmingham, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083375380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704322492 (Michigan) | Primary |
Entity Name | Dearborn Pain Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174995203 PECOS PAC ID: 7012216732 Enrollment ID: O20160502002182 |
Entity Name | Hazel Park Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306407440 PECOS PAC ID: 2961731997 Enrollment ID: O20190917000580 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
Mailing Address | Practice Location Address |
---|---|
Raven Richardson, FNP 1077 Willow Ln, Birmingham, MI 48009-1252 Ph: () - | Raven Richardson, FNP 1077 Willow Ln, Birmingham, MI 48009-1252 Ph: (248) 644-9269 |
Linda Angela-capobianco Nori, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2795 Pembroke Rd, Birmingham, MI 48009 Phone: 248-637-3068 | |
Ms. Carla Lee Justice, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1823 Humphrey Ave, Birmingham, MI 48009 Phone: 248-203-6330 | |
Mrs. Mary Bruce Stallard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1027 Clark St, Birmingham, MI 48009 Phone: 704-880-4054 | |
Mahmoud H Elboraii, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 717 S Eton St, Birmingham, MI 48009 Phone: 248-423-3096 | |
Caroline Elena Sulich-moore, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 N Old Woodward Ave Apt 7, Birmingham, MI 48009 Phone: 248-914-2584 | |
Mrs. Kathryn Villari Howells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545 Wellesley St, Birmingham, MI 48009 Phone: 248-203-2282 |