Rickman, Mary

Rickman, Mary is an individual health care provider with primary practice located at 3805 E Bell Rd Suite 3100, Phoenix AZ 85032-2136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rickman, Mary can be contacted via phone (602) 867-8644.

Contact Information

Primary practice address
3805 E Bell Rd Suite 3100 Phoenix AZ 85032-2136
Phone: (602) 867-8644
Fax: (602) 795-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN053459 Arizona

Profile Details

NPI number 1699742866
LBN Legal business name Rickman, Mary
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 16th, 2014 - about 11 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 1699742866 NPPES
Arizona MEDICAID 187394

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