Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Richardson, FNP

Individual provider Family Nurse Practitioner · NPI 1083375380

Raven Richardson, FNP is a Nurse Practitioner in Hazel Park, Michigan. Qualified in 2020, 6 years ago. Practices with Berkley Urgent Care PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone: (248) 629-7497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704322492 (MI)

Record details

NPI number1083375380
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 7, 2022
Last updated in NPPESJuly 20, 2024
Certification dateJuly 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Berkley Urgent Care Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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