Provider Demographics
NPI:1730285057
Name:RICHARDSON, MARGUARITE LIZABETH (ARNP BC DNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUARITE
Middle Name:LIZABETH
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:ARNP BC DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11072 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3718
Mailing Address - Country:US
Mailing Address - Phone:727-543-9148
Mailing Address - Fax:
Practice Address - Street 1:11072 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3718
Practice Address - Country:US
Practice Address - Phone:727-543-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1209592363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health