Individual
LINA RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Mailing address
18117 BISCAYNE BLVD, PMB 61108, MIAMI, FL 33160
(954) 649-8393
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202212709RN
OR
163WC0200X
Critical Care Medicine Registered Nurse
RN9445925
FL
367500000X
Certified Registered Nurse Anesthetist
11017420
FL
367500000X
Certified Registered Nurse Anesthetist
113936
WV
367500000X
Certified Registered Nurse Anesthetist
202213324CRNA-P
OR
367500000X
Certified Registered Nurse Anesthetist
APRN1071214
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R52096
ND
Other
Enumeration date
01/09/2022
Last updated
09/16/2022
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