Individual
BEVERLY RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4633 E CHANDLER BLVD STE 100, PHOENIX, AZ 85048-0431
(480) 776-0440
Mailing address
10663 E AUTUMN SAGE DR, SCOTTSDALE, AZ 85255-8830
(480) 563-2109
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN031459
AZ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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