Rickelman, Kristin Diane

Rickelman, Kristin Diane is an individual health care provider with primary practice located at 2081 Bronze Star Dr , Woodland CA 95776-5423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rickelman, Kristin Diane can be contacted via phone (530) 668-2600.

Contact Information

Primary practice address
2081 Bronze Star Dr Woodland CA 95776-5423
Phone: (530) 668-2600
Fax: (530) 661-1027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 17161 California

Profile Details

NPI number 1285629428
LBN Legal business name Rickelman, Kristin Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 16th, 2020 - about 4 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 1285629428 NPPES
California Other 552017 RN
California Other NPF 17161 RN

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