Provider Demographics
NPI:1578548806
Name:RICKMAN PATRICK, SHERI (NP)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:RICKMAN PATRICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4617 FREEPORT BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-2015
Mailing Address - Country:US
Mailing Address - Phone:916-422-7273
Mailing Address - Fax:916-422-2127
Practice Address - Street 1:4617 FREEPORT BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-2015
Practice Address - Country:US
Practice Address - Phone:916-422-7273
Practice Address - Fax:916-422-2127
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP7926363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ16180ZMedicare ID - Type Unspecified
CAS85769Medicare UPIN
CADB778ZMedicare PIN
CADB778YMedicare PIN