Deborah L Richardson (NPI# 1073863825, PAC ID# 2365696010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1073863825 |
PAC ID by PECOS | 2365696010 |
Professional Enrollment ID | I20130204000510 |
Full Name | Deborah L Richardson |
Organization Legal Name | MCLAREN PRIMARY CARE |
Address |
5170 Rifle River Trl Alger MI 48610-9343 |
Phone Number | 9898735323 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1850327487 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230041 | MCLAREN BAY REGION |
230095 | WEST BRANCH REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
5170 Rifle River Trl, Alger, MI 48610-9343 | 9898735323 | MCLAREN PRIMARY CARE |
2990 Campbell Rd, Rose City, MI 48654-9724 | 9896852333 | MCLAREN PRIMARY CARE |
2110 S M, 76 Suite 6, West Branch, MI 48661-8737 | 9893451184 | MCLAREN PRIMARY CARE |
Organization Legal Name | MCLAREN PRIMARY CARE |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Vanwormer | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Tamyra A Henigan | Nurse Practitioner | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Theodore A Bash | Family Medicine | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
Jessica R Bennett | Nurse Practitioner | Mclaren Primary Care | 2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312 |
Jenny K David | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Kerri A Stephens | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Kelsie L Passmore | Physician Assistant | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
Michelle E Vanoosten | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
John P Wilkins | Family Medicine | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Kimberly K Provoast | Physician Assistant | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
Street Address |
5170 RIFLE RIVER TRL |
City | ALGER |
State | MI |
Zip | 48610-9343 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jenny K David | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
Mandhir S Jamwal | Family Medicine | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
City | ALGER |
Zip Code | 48610 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ALGER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deborah L Richardson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.