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Stacy Richardson, RN,MSN,FNP-C
Family Nurse Practitioner in Charleston, West Virginia
NPI 1184862096

Stacy Richardson is a Family Nurse Practitioner based in Charleston, WV and is specialized in Family. Stacy Richardson practices in Charleston, WV and has the professional credentials of RN,MSN,FNP-C. The NPI Number for Stacy Richardson is 1184862096 and holds a License No. 44522 (West Virginia).

The current practice location address for Stacy Richardson is 3100 Maccorkle Ave Se Ste 900, Charleston, WV and can be reached out via phone at 304-388-5880 and via fax at 304-388-5858.

Location: 3100 Maccorkle Ave Se Ste 900, Charleston, WV, 25311-1298
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Provider Profile Details
NPI Number
1184862096
Provider Name
Stacy Richardson
Credential
RN,MSN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3100 Maccorkle Ave Se Ste 900, Charleston, WV, 25311-1298
Phone Number
304-388-5880
Fax Number
304-388-5858
Provider Enumeration Date
01/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810014885 05 WV
institution
Provider Business Practice Location Address Details
Address
3100 Maccorkle Ave Se Ste 900
City
State
Zip
25304-1223
Phone Number
304-388-5880
Fax Number
304-388-5858
person
Provider Business Mailing Address Details
Address
3100 Maccorkle Ave Se Ste 900
City
State
Zip
25304-1223
Phone Number
304-388-5880
Fax Number
304-388-5858
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
44522 (West Virginia)
Definition
Definition to come...
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