Individual
MS. REBEKAH RUTH RICK
Active
Individual
MS. REBEKAH RUTH RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 06720
TX
363AM0700X
Medical Physician Assistant
Primary
9825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490R7RI
BLUE CROSS HOSPITAL
MN
05
—
717613900
—
MN
01
—
HP42449
HEALTH PARTNERS
MN
01
—
NA9091043263
PREFERRED ONE
MN
Enumeration date
05/26/2006
Last updated
12/15/2020
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