Individual
MRS. SANDRA RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
(702) 240-0206
Mailing address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
(702) 240-0206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN84697
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
826659
NV
Other
Enumeration date
09/23/2020
Last updated
12/02/2021
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