Rickard, Kathleen B

Rickard, Kathleen B is an individual health care provider with primary practice located at 11209 N Tatum Blvd Ste 160 , Phoenix AZ 85028-3092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rickard, Kathleen B can be contacted via phone (480) 285-2180.

Contact Information

Primary practice address
11209 N Tatum Blvd Ste 160 Phoenix AZ 85028-3092
Phone: (480) 285-2180
Fax: (480) 285-2182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN046461 Arizona

Profile Details

NPI number 1922003250
LBN Legal business name Rickard, Kathleen B
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 14th, 2022 - 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 1922003250 NPPES
Arizona MEDICAID 393934

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