Individual
LAURA F RIKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8699
(901) 545-8996
Mailing address
1407 UNION AVE, SUITE 640, MEMPHIS, TN 38104-3627
(901) 866-8360
(901) 302-2360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN158219
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
16611
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03425551
—
MS
05
—
1528683
—
TN
05
—
192451001
—
AR
Enumeration date
12/13/2011
Last updated
08/11/2014
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