Individual
TRACEY-ANN RICKETTS
Active
Individual
TRACEY-ANN RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
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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