Individual
TERESA DIANE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2020 26TH AVE E, BRADENTON, FL 34208-7753
(941) 782-4600
(941) 782-4601
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 3088802
FL
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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