Individual
MCKENNA RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
203 W UPHAM ST, MARSHFIELD, WI 54449-1460
(715) 305-2214
Mailing address
203 W UPHAM ST, MARSHFIELD, WI 54449-1460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236016
WI
363L00000X
Nurse Practitioner
Primary
13201
WI
Other
Enumeration date
09/03/2018
Last updated
08/16/2024
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