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Individual

MAUREEN M RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ARNP, PMHNP-BC

Contact information

Practice address
5302 PICARDY COURT, ROCKLEDGE, FL 32955
(850) 240-4663
(903) 455-4301
Mailing address
5302 PICARDY COURT, ROCKLEDGE, FL 32955
(850) 240-4663
(903) 455-4301

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP 1325442
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP125867
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP 1325442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000465400
FL
01
2611445
CIGNA
FL
01
9029191
AETNA
FL
01
Y122P
BCBS
FL
Enumeration date
03/06/2008
Last updated
01/31/2017
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