Provider Demographics
NPI:1437741022
Name:STEPHANIE RICKER CONSULTING LLC
Entity Type:Organization
Organization Name:STEPHANIE RICKER CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-401-8301
Mailing Address - Street 1:13181 LEYDEN ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-9143
Mailing Address - Country:US
Mailing Address - Phone:561-401-8301
Mailing Address - Fax:
Practice Address - Street 1:13181 LEYDEN ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-9143
Practice Address - Country:US
Practice Address - Phone:561-401-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health