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Individual

MS. MARY ANNE RICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP FNP-BC

Contact information

Practice address
106 E MAIN ST, HHWC, SPRING ARBOR, MI 49283-9701
(517) 750-6352
(517) 750-6625
Mailing address
106 E MAIN ST, HHWC, SPRING ARBOR, MI 49283-9701
(517) 750-6352
(517) 750-6625

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MR202588
MI
363LP0200X
Pediatric Nurse Practitioner
MR202588
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0870362
BCBSM
MI
01
0C80192
BCBSM
MI
05
4634780
MI
01
8320044
PHP
MI
Enumeration date
08/23/2005
Last updated
09/12/2013
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