Richardson, Meredith Tate

Richardson, Meredith Tate is an sole proprietor health care provider with primary practice located at 2000 E Lamar Blvd Ste 400 , Arlington TX 76006-7353. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Richardson, Meredith Tate can be contacted via phone (901) 378-2280.

Contact Information

Primary practice address
2000 E Lamar Blvd Ste 400 Arlington TX 76006-7353
Phone: (901) 378-2280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 15874 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X 144047 Tennessee

Profile Details

NPI number 1053603423
LBN Legal business name Richardson, Meredith Tate
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2011
Last updated Jul 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053603423 NPPES
Other 1053603423 CHAMPUS/TRICARE
Other 4296474 CHAMPUS/TRICARE

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