Individual ProviderMarnie RichardsonRegistered NurseNursing Service ProvidersPractice Address5601 N 16th St, Phoenix, AZ 85016-2903(602) 664-7420PECOS EnrollmentBased on the most recent information from CMS, provider Marnie Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1306970330Provider TypeIndividualFull NameRichardson, MarnieGenderFemaleSole ProprietorYesEnumeration Date3/14/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5601 N 16th St, Phoenix, AZ 85016-2903Phone(602) 664-7420FaxUnlisted FaxMailing LocationMailing Address5601 N 16th St, Phoenix, AZ 85016-2903Phone(602) 664-7420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN081506Arizona