Individual provider · Type 1 NPI
Nicole Ricketts
Surgical Physician Assistant · Pittsburgh, PA
NPI number
1962686683
Active
Practice location
200 Lothrop St, Suite 1135
Pittsburgh, PA 15213-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA053142 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1962686683
Nicole Ricketts's National Provider Identifier is 1962686683, issued on Dec 18, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Apr 6, 2021.