Individual
MS. ANNETTE Y RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 N LITCHFIELD RD STE 106, GOODYEAR, AZ 85338-1226
(602) 243-7277
(602) 323-8048
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.007758
IL
363L00000X
Nurse Practitioner
TRN168122
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP4037
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630905
—
AZ
Enumeration date
10/30/2009
Last updated
06/01/2020
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