Individual
DR. KATHLEEN B RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
11209 N TATUM BLVD STE 160, PHOENIX, AZ 85028-3092
(480) 285-2180
(480) 285-2182
Mailing address
11209 N TATUM BLVD STE 160, PHOENIX, AZ 85028-3092
(480) 285-2180
(480) 285-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN046461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393934
—
AZ
Enumeration date
06/14/2005
Last updated
07/14/2022
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