Provider Demographics
NPI:1356237689
Name:RICHARDSON, STEVEN P
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:P
Last Name:RICHARDSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21151 E VIA DE ARBOLES
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5081
Mailing Address - Country:US
Mailing Address - Phone:615-714-7505
Mailing Address - Fax:480-401-0825
Practice Address - Street 1:21151 E VIA DE ARBOLES
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-5081
Practice Address - Country:US
Practice Address - Phone:615-714-7505
Practice Address - Fax:480-401-0825
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator