Provider Demographics
NPI:1922002294
Name:PICKLER, RITA H (RN, PNP)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:H
Last Name:PICKLER
Suffix:
Gender:F
Credentials:RN, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 E GRACE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7153
Mailing Address - Country:US
Mailing Address - Phone:804-225-8884
Mailing Address - Fax:
Practice Address - Street 1:1100 E. LEIGH STREET
Practice Address - Street 2:BOX 980567
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219
Practice Address - Country:US
Practice Address - Phone:804-828-0721
Practice Address - Fax:804-828-7743
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001080840163WG0000X
VA0024080840363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics