Individual
JUDY RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
(505) 841-8977
Mailing address
PO BOX 80810, ALBUQUERQUE, NM 87198-0810
(505) 841-8978
(505) 841-8977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R22502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R22502
REGISTERED NURSE
NM
Enumeration date
05/17/2007
Last updated
07/08/2007
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