Individual
TIFFANY K RICKERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1851
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1851
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A112954
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
A112954
IA
Other
Enumeration date
09/07/2012
Last updated
01/03/2022
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