Individual provider · Type 1 NPI

Mark A. Ricketts, PMHNP

Psychiatric/Mental Health Nurse Practitioner · West Babylon, NY

NPI number 1801132782 Active

About NPI 1801132782

Mark A. Ricketts, PMHNP's National Provider Identifier is 1801132782, issued on Dec 20, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Babylon, NY. The record was last updated on Sep 28, 2022.