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NPI Code Detail

MEDICARE: NICOLE P RICKMAN FNP-C

MEDICARE: NICOLE P RICKMAN FNP-C
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
1363L00000XNurse Practitioner308946AZ

General Provider Information

NPI Number : 1750114625
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE P RICKMAN FNP-C
Provider Business Mailing Address
First Line : 2105 N CITRUS RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-9204
Country : US
Telephone Number : 480-432-3333
Fax Number :
Provider Business Practice Location Address
First Line : 2105 N CITRUS RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-9204
Country : US
Telephone Number : 480-432-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2024
Last Update Date : 02/20/2026

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Directions to “ NICOLE P RICKMAN FNP-C” Practice Location

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