Individual
ANGELA JO RICKHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13688 ROGERS DR STE 230, ROGERS, MN 55374-4918
(952) 977-0300
(952) 977-0311
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP4806
MN
363LF0000X
Family Nurse Practitioner
CNP4806
MN
Other
Enumeration date
10/05/2016
Last updated
07/20/2023
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