Individual
MONA RICCI-NORTHRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLAZA, FORT WORTH, TX 76109
(817) 529-1923
Mailing address
4916 OVERTON PLAZA, FORT WORTH, TX 76109
(817) 529-1923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
039486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109666105
—
TX
Enumeration date
04/19/2006
Last updated
09/25/2009
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