Healthcare Provider Details

I. General information

NPI: 1306220975
Provider Name (Legal Business Name): CHRISTEANNA WINSLOW RICHARDSON DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 BRANDYWINE BLVD
MOREHEAD CITY NC
28557-9666
US

IV. Provider business mailing address

112 BRANDYWINE BLVD
MOREHEAD CITY NC
28557-9666
US

V. Phone/Fax

Practice location:
  • Phone: 252-515-4633
  • Fax:
Mailing address:
  • Phone: 252-515-4633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5007778
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: