Individual provider · Type 1 NPI

Tanisha Ricketts

Student in an Organized Health Care Education/Training Program · Scranton, PA

NPI number 1891641858 Active

Practice location

721 N Lincoln Ave # A
Scranton, PA 18504-1510

Call (984) 310-1642 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X377384 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891641858

Tanisha Ricketts's National Provider Identifier is 1891641858, issued on Mar 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on Mar 10, 2026.