Individual
TRICIA RICKETTSFACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RESERVE RD STE A4, DANBURY, CT 06810-5267
(203) 794-1979
Mailing address
9 SPRING RIDGE CT, DANBURY, CT 06811-3084
(347) 538-4542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1118
CT
363LF0000X
Family Nurse Practitioner
Primary
11183
CT
Other
Enumeration date
12/04/2013
Last updated
11/30/2023
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