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
Fax: (260) 482-5060
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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