Individual
SARA ANNE RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
34TH ST AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1719
(215) 590-2223
Mailing address
2031 CORINTHIAN AVE, ABINGTON, PA 19001-1121
(215) 939-4447
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00158200
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009222
PA
Other
Enumeration date
01/18/2007
Last updated
11/11/2008
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