Marilyn Rae Richardson , LPN
Licensed Practical Nurse • Herrin, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marilyn Richardson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Marilyn Richardson, LPN was a registered Licensed Practical Nurse practicing in Herrin, IL. Throughout an active medical career spanning 14 years, Marilyn Richardson provided care at the practice location at 767 FILMORE SQ until profile deactivation on 2024-03-06.
Practice Location & Contact Primary Location
767 Filmore Sq
Herrin, IL 629486467
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Herrin, IL
Practicing in Herrin, IL (906 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 06, 2024
Registered at 914 W WALNUT ST APT E, MARION, IL 629592744 (Tel: 6188898811)
Recorded as MARILYN BROCK, RN-CASE MANAGER
NPI status registered as active in NPPES database
Registered at 767 FILMORE SQ, HERRIN, IL 629486467 (Tel: 6188896934)
Registered at 767 FILMORE SQ, HERRIN, IL 629486467 (Tel: 6188896934)
Recorded as MARILYN RICHARDSON, LPN
Licensed Practical Nurse (License #043109616 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
767 Filmore Sq
Herrin, IL 629486467
Phone: 6188896934
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