# MRS. NATALIE N. RICKS

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

## Provider details

- **NPI number:** 1801178033
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 3087 | TN | Yes |
| 363A00000X | Physician Assistant | PA.200490 | LA | — |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 04/06/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2167731 | — | LA |
| 01 | — | 5F600PF54 | MEDICARE - PTAN | LA |