Provider Demographics
NPI:1376914713
Name:RICKETTI, CRISTINA SPAGNOLI (APN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:SPAGNOLI
Last Name:RICKETTI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:ELIZABETH
Other - Last Name:SPAGNOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:10 ALYSSA DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1342
Mailing Address - Country:US
Mailing Address - Phone:201-747-3112
Mailing Address - Fax:
Practice Address - Street 1:1544 KUSER RD STE C6
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3830
Practice Address - Country:US
Practice Address - Phone:609-581-9900
Practice Address - Fax:609-581-9905
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9399768364SF0001X
NJ26NJ00752900364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health