Individual
RICARDA NICOLE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(484) 551-3366
Mailing address
108 W SPRING AVE APT 3, ARDMORE, PA 19003-1232
(610) 348-4405
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN628721
PA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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