Individual provider · Type 1 NPI
Wade Dean Ricketts, LPN
Licensed Practical Nurse · Aurora, CO
NPI number
1245494129
Active
Practice location
15840 E Mansfield Ave
Aurora, CO 80013-2538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 41928 (CO) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1245494129
Wade Dean Ricketts, LPN's National Provider Identifier is 1245494129, issued on Jul 10, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Aurora, CO. The record was last updated on Jul 10, 2008.