Provider Demographics
NPI:1780339945
Name:SCHIANO, RICHARD ANTON (ARNP FNP-BC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ANTON
Last Name:SCHIANO
Suffix:
Gender:M
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35124 MIMOSA PARKE PL
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-0023
Mailing Address - Country:US
Mailing Address - Phone:954-298-3435
Mailing Address - Fax:
Practice Address - Street 1:1625 LIME ST
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-3017
Practice Address - Country:US
Practice Address - Phone:904-261-0771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9332087163W00000X
FL11015296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse