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NPI Code Detail

MEDICARE: ELIZABETH ARIANA RICCA CRNFA

MEDICARE: ELIZABETH ARIANA RICCA CRNFA
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
1163WM0705XMedical-Surgical Registered NurseRN029643AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0144340OTHERAZBLUE CROSS

General Provider Information

NPI Number : 1699748749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ARIANA RICCA CRNFA
Provider Business Mailing Address
First Line : 7163 W RUE DE LAMOUR
Second Line :
City : PEORIA
State : AZ
Zip : 85381-5087
Country : US
Telephone Number : 623-910-4515
Fax Number :
Provider Business Practice Location Address
First Line : 5555 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4622
Country : US
Telephone Number : 623-910-4515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 01/25/2024

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