Individual
KRISTIN A RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
256 GALLANT FOX LN, WEBSTER, NY 14580-9033
(585) 747-0063
Mailing address
1074 COTTONWOOD LN, WEBSTER, NY 14580-9717
(630) 303-4519
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
579090-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404159-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02822668
—
NY
Enumeration date
12/21/2006
Last updated
03/13/2023
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