Richardson, Nacresha Nicole
Richardson, Nacresha Nicole is an sole proprietor health care provider with primary practice located at 99 6Th St Sw Ste 104 , Winter Haven FL 33880-7902. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Richardson, Nacresha Nicole can be contacted via phone (863) 288-1709.Contact Information
Primary practice address
99 6Th St Sw Ste 104
Winter Haven FL 33880-7902
Phone: (863) 288-1709
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN.CNP.00035619 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC002702 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11001072 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11001072 | Florida |
Profile Details
| NPI number | 1891259925 |
|---|---|
| LBN Legal business name | Richardson, Nacresha Nicole |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2019 |
| Last updated | Mar 22nd, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891259925 | NPPES |
| Florida | MEDICAID | 103918800 |
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