Individual
RICKY DENNIS
Active
Individual
RICKY DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP, AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R0131651
OK
363L00000X
Nurse Practitioner
228862
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
228862
OK
363LF0000X
Family Nurse Practitioner
228862
OK
Other
Enumeration date
02/22/2025
Last updated
08/03/2026
Update your record
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