Healthcare Provider Details

I. General information

NPI: 1922002294
Provider Name (Legal Business Name): RITA H PICKLER RN, PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E. LEIGH STREET BOX 980567
RICHMOND VA
23219
US

IV. Provider business mailing address

2403 E GRACE ST
RICHMOND VA
23223-7153
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-0721
  • Fax: 804-828-7743
Mailing address:
  • Phone: 804-225-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number0001080840
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024080840
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: