Individual
AUDRA C RICICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28188589A
IN
367500000X
Certified Registered Nurse Anesthetist
RN-252552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208046
ANTHEM
OH
05
—
200979940
—
IN
05
—
2210333
—
OH
01
—
430069360
RRMC
OH
Enumeration date
12/01/2005
Last updated
10/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us