Provider Demographics
NPI:1326312919
Name:RICHARDSON, ERIN MAGAIL (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MAGAIL
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43145-9701
Mailing Address - Country:US
Mailing Address - Phone:740-436-4919
Mailing Address - Fax:
Practice Address - Street 1:173 E FRONT ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43145-9701
Practice Address - Country:US
Practice Address - Phone:740-436-4919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH136265164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse