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Individual

ANGELA DRAUGHON RICKELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
509 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-0900
Mailing address
PO BOX 26595, GREENSBORO, NC 27415-6595
(336) 832-7786
(336) 272-4063

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144978
NC
367500000X
Certified Registered Nurse Anesthetist
51813
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051451
NC
Enumeration date
01/25/2006
Last updated
09/11/2025
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