Brandy Marie Richards, CNP | |
3540 Croton Ave, Cleveland, OH 44115-3212 | |
(216) 202-1017 | |
Not Available |
Full Name | Brandy Marie Richards |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 3540 Croton Ave, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770037343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 357805 (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
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Brandy Marie Richards, CNP 885 E Buchtel Ave, Oriana House, Akron, OH 44305-2338 Ph: () - | Brandy Marie Richards, CNP 3540 Croton Ave, Cleveland, OH 44115-3212 Ph: (216) 202-1017 |
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