Individual
MISS MEREDITH TATE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 E LAMAR BLVD STE 400, ARLINGTON, TX 76006-7353
(901) 378-2280
Mailing address
2000 E LAMAR BLVD STE 400, ARLINGTON, TX 76006-7353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
144047
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
15874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053603423
CHAMPUS/TRICARE
—
01
—
4296474
BCBS
TN
Enumeration date
05/04/2011
Last updated
07/24/2014
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