Healthcare Provider Details

I. General information

NPI: 1235349515
Provider Name (Legal Business Name): VANESSA RICHARDSON CRNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILMINGTON W CHESTER PIKE STE 200-0290
CHADDS FORD PA
19317-9011
US

IV. Provider business mailing address

225 WILMINGTON W CHESTER PIKE STE 200-0290
CHADDS FORD PA
19317-9011
US

V. Phone/Fax

Practice location:
  • Phone: 484-630-0212
  • Fax:
Mailing address:
  • Phone: 484-630-0212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP030349
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010422
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: