Individual
CHRISTINA MARIE RICKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
226 N 1100 E, AMERICAN FORK, UT 84003-2054
(801) 855-3841
Mailing address
88 S 980 E, AMERICAN FORK, UT 84003-2489
(801) 400-6607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7554156-4405
UT
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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