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Individual

KRISTI LYNNE RICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-BC, CARN

Contact information

Practice address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0411
Mailing address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R058098
ME
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN58098
ME
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN58098
ME

Other

Enumeration date
01/20/2011
Last updated
02/11/2019
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