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Individual
MRS. TAMI LYNN RICKEY
Active
Individual
MRS. TAMI LYNN RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165943
VA
363LW0102X
Women's Health Nurse Practitioner
0024165943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005641276
—
VA
Enumeration date
07/21/2006
Last updated
07/27/2015
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