Richardson, Rachelle

Richardson, Rachelle is an sole proprietor health care provider with primary practice located at 3134 Northside Dr Bld B, Key West FL 33040-8004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richardson, Rachelle can be contacted via phone (305) 292-6885.

Contact Information

Primary practice address
3134 Northside Dr Bld B Key West FL 33040-8004
Phone: (305) 292-6885
Fax: (305) 293-1561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 308584 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-09100 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9304753 Florida

Profile Details

NPI number 1386733897
LBN Legal business name Richardson, Rachelle
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jan 10th, 2013 - about 11 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 1386733897 NPPES
Florida MEDICAID 002893500
Florida MEDICAID 2425370
Florida Other EP045Z

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