Individual
MS. AMY RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD 21401-7027
(410) 897-9841
(410) 897-9852
Mailing address
116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD 21401-7027
(410) 897-9841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R173595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R173595
STATE OF MARYLAND LICENSE
MD
Enumeration date
11/21/2011
Last updated
05/04/2012
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