Individual
CHERITH RICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11011056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110589800
—
FL
01
—
NX588
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/15/2021
Last updated
02/16/2022
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