Audra C Ricica in Fort Wayne - Nurse Anesthetist, Certified Registered
Audra C Ricica - NPI 1790769099
Audra C Ricica is a Nurse Anesthetist, Certified Registered in Fort Wayne, Indiana. Audra C Ricica practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Audra C Ricica is 1790769099. The last update date is 2018-10-30.
Audra C Ricica's current location address is 5052 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604848551 and fax number 2604825060. The mailing address for Audra C Ricica is 5052 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra C Ricica |
|---|---|
| Address | 5052 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1790769099 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2018-10-30 |
Provider Mailing Address Detail
| Address | 5052 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255822 |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN-252552 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430069360 | OH | RRMC | |
| 200979940 | IN | -- | |
| 208046 | OH | ANTHEM | |
| 2210333 | OH | -- |
Post Comment/ Review Below
What is the Audra C Ricica's unique identification number?
The Audra C Ricica has been assigned the NPI (National Provider Identifier) Number 1790769099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Audra C Ricica's physical address?
The Audra C Ricica is physically located at 5052 N Clinton St, in the city of Fort Wayne, IN, with the postal code 468255822.
What is Audra C Ricica's area of expertise and its corresponding taxonomy classification?
The Audra C Ricica's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790769099 to Audra C Ricica?
The Centers for Medicare & Medicaid Services originally issued the 1790769099 to Audra C Ricica on 2005-12-01.
When was the information regarding Audra C Ricica most recently updated?
The details pertaining to the Audra C Ricica, including its address, specialty, and other relevant information, were last refreshed on 2018-10-30.