MEDICARE: LINDSEY N RICCI ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5004848	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5981P	OTHER	KY	KY ARNP LICENSE
2	5004848	OTHER	NC	NC BOARD OF NURSING

General Provider Information

NPI Number	:	1760617401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY N RICCI ARNP

Provider Business Mailing Address
First Line	:	5225 POPLAR TENT RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-7757
Country	:	US
Telephone Number	:	704-782-1727
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 POPLAR TENT RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-7757
Country	:	US
Telephone Number	:	704-782-1727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	01/10/2020

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