Christina Renee Richard
Christina Renee Richard is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Michigan.
- Years since qualifying
- 2
- Licensed in
- MI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3646 Mount Elliott StDetroit, MI 48207-2311
Phone: (248) 234-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6309 Mack Ave, Detroit, MI 48207-2302 — (248) 234-1079
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 4704300157 (MI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 4704300157 (MI) |
Record details
| NPI number | 1437907938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 9, 2024 |
| Last updated in NPPES | December 20, 2024 |
| Certification date | December 20, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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