Ricks, Annette Y

Ricks, Annette Y is an individual health care provider with primary practice located at 140 N Litchfield Rd Ste 106 , Goodyear AZ 85338-1226. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ricks, Annette Y can be contacted via phone (602) 243-7277.

Contact Information

Primary practice address
140 N Litchfield Rd Ste 106 Goodyear AZ 85338-1226
Phone: (602) 243-7277
Fax: (602) 323-8048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TRN168122 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.007758 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4037 Arizona

Profile Details

NPI number 1215263983
LBN Legal business name Ricks, Annette Y
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Jun 1st, 2020 - 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 1215263983 NPPES
Arizona MEDICAID 630905

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