Richkard Saint Louis Valid NPI
Individual provider · Family Nurse Practitioner · Fort Liberty, NC
- NPI
- 1154840296
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- ARNP9384988 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-09-10
- Last updated
- 2024-09-25
Practice location
Clark Health Clinic Womack 5-4257 Bastonge St
Fort Liberty, NC 28310-9098
(910) 907-2575