Individual
CHRISTINA FULTZ RICKENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
ONE WILDWOOD MEDICAL CENTER, ESSEX, CT 06426
(860) 767-0168
(860) 767-1803
Mailing address
ONE WILDWOOD MEDICAL CENTER, ESSEX, CT 06426
(860) 767-0168
(860) 767-1803
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000028
CT
Other
Enumeration date
07/29/2006
Last updated
08/10/2010
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