Basic Information
Provider Information
NPI: 1841421666
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: RICHARD
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: F.N.P
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1020 LAKE SUMTER LNDG
Address2:  
City: THE VILLAGES
State: FL
PostalCode: 321622699
CountryCode: US
TelephoneNumber: 3526748905
FaxNumber:  
Practice Location
Address1: 280 FARNER PL
Address2:  
City: THE VILLAGES
State: FL
PostalCode: 32163
CountryCode: US
TelephoneNumber: 3526741710
FaxNumber: 3526748910
Other Information
ProviderEnumerationDate: 07/28/2009
LastUpdateDate: 12/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X669603TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XAPRN9469925FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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