Individual
ELIZABETH ARIANA RICCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(623) 910-4515
Mailing address
7163 W RUE DE LAMOUR, PEORIA, AZ 85381-5087
(623) 910-4515
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN029643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344474
—
AZ
01
—
AZ0144340
BLUE CROSS
AZ
Enumeration date
02/09/2006
Last updated
01/25/2024
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