MR. Mark A Ricketts, PMHNP

NPI #1801132782 in West Babylon, New York

Provider Information

NPI Number
1801132782
Entity Type
Individual
Name
MR. Mark A Ricketts, PMHNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP
Enumeration Date
Dec 20, 2012
Last Updated
Sep 28, 2022

Practice Location

Address
1565 HERZEL BLVD
ZIP Code
11704-4234
Phone
(646) 649-6840

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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