# ELLEN RICCIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366827057
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN568111 | PA | — |
| 363LF0000X | Family Nurse Practitioner | SP015226 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP034140 | PA | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN568111 | RN LICENSE | PA |
| 01 | — | SP015226 | CRNP STATE LICENSE | PA |
| 01 | — | SP034140 | PMHNNP | PA |