Individual
CAROL RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 HIGHLAND AVE, HANOVER, PA 17331
(717) 988-0000
(717) 782-5716
Mailing address
300 HIGHLAND AVE, HANOVER, PA 17331-2297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016328
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103224618
—
PA
Enumeration date
04/02/2016
Last updated
04/09/2021
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