Provider Demographics
NPI:1285897769
Name:ABRAZALDO-RICHARDS, LITA (APN - C)
Entity type:Individual
Prefix:MRS
First Name:LITA
Middle Name:
Last Name:ABRAZALDO-RICHARDS
Suffix:
Gender:F
Credentials:APN - C
Other - Prefix:MISS
Other - First Name:LITA
Other - Middle Name:GUTIERREZ
Other - Last Name:ABRAZALDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 CLOVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1650
Mailing Address - Country:US
Mailing Address - Phone:732-901-0271
Mailing Address - Fax:
Practice Address - Street 1:668 ROUTE 70
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4024
Practice Address - Country:US
Practice Address - Phone:732-477-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00157500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily