Basic Information
Provider Information
NPI: 1114436235
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICHEMOND
FirstName: HSHKENI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP/CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 TAMPA GENERAL CIR STE 240
Address2:  
City: TAMPA
State: FL
PostalCode: 336063578
CountryCode: US
TelephoneNumber: 8132583309
FaxNumber: 8132514454
Practice Location
Address1: 5 TAMPA GENERAL CIR STE 240
Address2:  
City: TAMPA
State: FL
PostalCode: 336063578
CountryCode: US
TelephoneNumber: 8132583309
FaxNumber: 8132514454
Other Information
ProviderEnumerationDate: 09/20/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XARNP9327788FLY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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