Provider Demographics
NPI:1740839349
Name:URGENTNP, LLC
Entity type:Organization
Organization Name:URGENTNP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NACRESHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C
Authorized Official - Phone:863-288-1709
Mailing Address - Street 1:PO BOX 1435
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33882-1435
Mailing Address - Country:US
Mailing Address - Phone:863-221-5566
Mailing Address - Fax:863-884-1984
Practice Address - Street 1:733 TERRANOVA AVE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-3411
Practice Address - Country:US
Practice Address - Phone:863-221-5566
Practice Address - Fax:863-884-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service