1740498914 NPI number — JOANNE RICCA NP

Table of content: JOANNE RICCA NP (NPI 1740498914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740498914 NPI number — JOANNE RICCA NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICCA
Provider First Name:
JOANNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740498914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 PINES RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEARSMONT
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04973-3818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-342-3688
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
147 WALDO AVE
Provider Second Line Business Practice Location Address:
BELFAST FAMILY PLANNING
Provider Business Practice Location Address City Name:
BELFAST
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04915-6922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-338-3736
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  R020016 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)