person
Tierra Shanel Richardson
Gerontology Nurse Practitioner in Bowie, Maryland
NPI 1740796945

Tierra Shanel Richardson is a Gerontology Nurse Practitioner based in Upper Marlboro, MD and is specialized in Gerontology. Tierra Shanel Richardson practices in Bowie, MD. The NPI Number for Tierra Shanel Richardson is 1740796945 and holds a License No. R20340 (Maryland).

The current practice location address for Tierra Shanel Richardson is 14300 Gallant Fox Ln, Bowie, MD and can be reached out via phone at 301-805-4348.

Location: 14300 Gallant Fox Ln, Bowie, MD, 20774-8410
person
Provider Profile Details
NPI Number
1740796945
Provider Name
Tierra Shanel Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
14300 Gallant Fox Ln, Bowie, MD, 20774-8410
Phone Number
301-805-4348
Fax Number
Provider Enumeration Date
12/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-805-4348
Fax Number
person
Provider Business Mailing Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-805-4348
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R20340 (Maryland)
Definition
Definition to come...
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