=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144017898
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN L RICHMOND FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2025
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4700 PUDDLEDOCK RD STE 300
-----------------------------------------------------
City | PRINCE GEORGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23875-1268
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-526-1111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4700 PUDDLEDOCK RD STE 300
-----------------------------------------------------
City | PRINCE GEORGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23875-1268
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-526-1111
-----------------------------------------------------
Fax | 804-526-2978
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 0024193308
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------