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Individual

DONNA ELIZABETH RICARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2150 GETTLER ST STE 305, DYER, IN 46311-2381
(219) 864-2630
(219) 864-2638
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002587A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000722765
ANTHEM TRADITIONAL
IN
05
201042620
IN
Enumeration date
06/10/2008
Last updated
04/04/2025
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