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Individual

MARY RICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3805 E BELL RD, SUITE 3100, PHOENIX, AZ 85032-2136
(602) 867-8644
(602) 795-5698
Mailing address
PO BOX 98819, LAS VEGAS, NV 89193
(602) 494-3659
(602) 494-3682

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN053459
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187394
AZ
Enumeration date
03/07/2006
Last updated
04/16/2014
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