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General NPI Number Information
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NPI Number | 1336803691
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Entity Type | Individual
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Provider Name | CHRISTINA RENEE RICHARDSON APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2000 NORTH AVE
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City | NORTHFIELD
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State | MN
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Zip | 55057-1498
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Country | US
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Telephone | 507-646-6900
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Fax | 507-646-6901
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Provider Business Mailing Address
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Address Line | 7254 180TH ST
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City | LESTER PRAIRIE
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State | MN
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Zip | 55354-7607
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Country | US
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Telephone | 320-310-2462
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 8666
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License Number State | MN
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