Individual
KELLI J RICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1551 N 17TH AVE STE 1, GREELEY, CO 80631-9400
(970) 400-3333
(970) 400-3334
Mailing address
60108 COUNTY ROAD 17, CARR, CO 80612-3238
(970) 817-1011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995041-NP
CO
Other
Enumeration date
12/12/2019
Last updated
11/25/2024
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