Individual
MRS. NACRESHA NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
99 6TH ST SW STE 101, WINTER HAVEN, FL 33880-7902
(407) 268-6668
(407) 214-8211
Mailing address
99 6TH ST SW STE 104, WINTER HAVEN, FL 33880-7902
(407) 268-6668
(407) 214-8211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.00035619
OH
363LF0000X
Family Nurse Practitioner
AC002702
MD
363LF0000X
Family Nurse Practitioner
APRN11001072
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11001072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103918800
—
FL
Enumeration date
01/23/2019
Last updated
06/02/2025
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