IndividualActive
Mary Richardson, NNP-BC
NPI 1356127484 · Critical Care Neonatal Nurse Practitioner · Royal Oak, MI
Provider details
- NPI number
- 1356127484
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704303268NSA230ON (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.