Healthcare Provider Details

I. General information

NPI: 1609707736
Provider Name (Legal Business Name): ANN BEATRICE RICHARDSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 CHERRY AVE STE 315
BREMERTON WA
98310-4201
US

IV. Provider business mailing address

7394 CLOVER BLOSSOM LN NE
BREMERTON WA
98311-3905
US

V. Phone/Fax

Practice location:
  • Phone: 360-479-2360
  • Fax:
Mailing address:
  • Phone: 210-363-4674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN60799229
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: