Ricica, Audra C
Ricica, Audra C is an sole proprietor health care provider with primary practice located at 5050 N Clinton St , Fort Wayne IN 46825-5886. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ricica, Audra C can be contacted via phone (260) 484-8551.Contact Information
Primary practice address
5050 N Clinton St
Fort Wayne IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN-252552 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28188589A | Indiana |
Profile Details
| NPI number | 1790769099 |
|---|---|
| LBN Legal business name | Ricica, Audra C |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 30th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790769099 | NPPES |
| Ohio | Other | 430069360 | RRMC |
| Ohio | MEDICAID | 200979940 | RRMC |
| Ohio | Other | 000000208046 | RRMC |
| Ohio | MEDICAID | 2210333 | RRMC |
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