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Individual
TRUDY L RICKMAN
Active
Individual
TRUDY L RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101230946
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028052
CIGNA
VA
01
—
141841
SOUTHERN HEALTH
VA
01
—
218557
ANTHEM BLUE CROSS
VA
01
—
295546
MAMSI
VA
01
—
33843
CARENET
VA
01
—
541497804
TRICARE CHAMPUS
VA
05
—
5859476
—
VA
01
—
7273281
AETNA
VA
Enumeration date
06/23/2005
Last updated
08/31/2015
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