Individual provider · Type 1 NPI

Alyssa Ricke

Student in an Organized Health Care Education/Training Program · Prior Lake, MN

NPI number 1962237834 Active

Practice location

16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372-9228

Fax (952) 443-4604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1962237834

Alyssa Ricke's National Provider Identifier is 1962237834, issued on Sep 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Prior Lake, MN. The record was last updated on Sep 3, 2024.