Richardson, Dedra Ann
Richardson, Dedra Ann is an individual health care provider with primary practice located at 106 Highway 62 W , Salem AR 72576-8059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Dedra Ann can be contacted via phone (870) 895-2105.Contact Information
Primary practice address
106 Highway 62 W
Salem AR 72576-8059
Phone: (870) 895-2105
Fax: (870) 895-2164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004927 | Arkansas |
Profile Details
| NPI number | 1457801797 |
|---|---|
| LBN Legal business name | Richardson, Dedra Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2016 |
| Last updated | Jan 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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