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TRACEY-ANN RICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
(718) 418-8745
Mailing address
220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
(718) 418-8745

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
582107-1
NY
163WM0705X
Medical-Surgical Registered Nurse
582107-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F421014-1
NY

Other

Enumeration date
12/22/2011
Last updated
12/28/2011
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