Healthcare Provider Details

I. General information

NPI: 1639596109
Provider Name (Legal Business Name): MARIA BARBOSA RICHARDSON CPNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA BARBOSA DEANDRADE

II. Dates (important events)

Enumeration Date: 03/23/2014
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE
ASPEN HILL MD
20906-2921
US

IV. Provider business mailing address

702 REXFORD WAY
UPPER MARLBORO MD
20774-8440
US

V. Phone/Fax

Practice location:
  • Phone: 301-557-1936
  • Fax: 301-557-1949
Mailing address:
  • Phone: 617-956-2584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR210081
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR210081
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: