Healthcare Provider Details

I. General information

NPI: 1528218658
Provider Name (Legal Business Name): KAREN ANNE HURKA RICHARDSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAROLINA MEADOWS VILLA 100 CAROLINA MEADOWS
CHAPEL HILL NC
27517-7557
US

IV. Provider business mailing address

CAROLINA MEADOWS VILLA 500 CAROLINA MEADOWS
CHAPEL HILL NC
27517-7557
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-4014
  • Fax:
Mailing address:
  • Phone: 919-942-4014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number200651
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: