Richardson, Mary Darleen

Richardson, Mary Darleen is an individual health care provider with primary practice located at 9000 Woodyard Rd , Clinton MD 20735-4206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richardson, Mary Darleen can be contacted via phone (240) 546-3428.

Contact Information

Primary practice address
9000 Woodyard Rd Clinton MD 20735-4206
Phone: (240) 546-3428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X RN1035180 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0814690 New Jersey

Profile Details

NPI number 1013318211
LBN Legal business name Richardson, Mary Darleen
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Apr 9th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013318211 NPPES
New Jersey MEDICAID 1013318211

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