Individual
NICOLE ANNMARIE RICCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
142 29TH AVE S, JACKSONVILLE BEACH, FL 32250-6016
(678) 549-8962
Mailing address
142 29TH AVE S, JACKSONVILLE BEACH, FL 32250-6016
(678) 549-8962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9306864
FL
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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