Riccelli, Mary S

Riccelli, Mary S is an sole proprietor health care provider with primary practice located at 10290 S Progress Way Ste 208 , Parker CO 80134-9056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Riccelli, Mary S can be contacted via phone (720) 317-9460.

Contact Information

Primary practice address
10290 S Progress Way Ste 208 Parker CO 80134-9056
Phone: (720) 317-9460
Fax: (877) 268-5001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0004954 Colorado

Profile Details

NPI number 1407871643
LBN Legal business name Riccelli, Mary S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated May 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407871643 NPPES
Colorado MEDICAID 41929705

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