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NPI Code Detail

MEDICARE: JULIE A RICHARDS A.R.N.P.

MEDICARE: JULIE A RICHARDS A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner9205656FL

General Provider Information

NPI Number : 1215966627
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A RICHARDS A.R.N.P.
Provider Business Mailing Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Provider Business Practice Location Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/09/2007

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