Individual provider · Type 1 NPI

Kristin Diane Rickelman, NP

Family Nurse Practitioner · Woodland, CA

NPI number 1285629428 Active

Practice location

2081 Bronze Star Dr
Woodland, CA 95776-5423

Fax (530) 661-1027

Mailing address

3400 Data Dr, Attn Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP 17161 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1285629428

Kristin Diane Rickelman, NP's National Provider Identifier is 1285629428, issued on Sep 14, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodland, CA. The record was last updated on Jul 16, 2020.