Individual provider · NPI-1

Gregory Paul Richards, ARNP

Registered Nurse, General Practice · Clearwater, FL

NPI number1518096544
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1518096544
Entity type
Individual (NPI-1)
Name
Gregory Paul Richards
Credential
ARNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 5, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General PracticeARNP166052FLYes

Practice location

4707 140th Ave N
Ste 107
Clearwater, FL 33762-3834

Phone 727-524-7760 · Fax 727-524-7761

Mailing address

4707 140th Ave N
Ste 107
Clearwater, FL 33762-3834

Phone 727-524-7760 · Fax 727-524-7761

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