Audra C Ricica, CRNA
NPI #1790769099 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1790769099
- Entity Type
- Individual
- Name
- Audra C Ricica, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Oct 30, 2018
Practice Location
- Address
- 5050 N CLINTON ST
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-5886
- Phone
- (260) 484-8551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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