Riccelli, Mary S
Riccelli, Mary S is an sole proprietor health care provider with primary practice located at 10290 S Progress Way Ste 208 , Parker CO 80134-9056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Riccelli, Mary S can be contacted via phone (720) 317-9460.Contact Information
Primary practice address
10290 S Progress Way Ste 208
Parker CO 80134-9056
Phone: (720) 317-9460
Fax: (877) 268-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN0004954 | Colorado |
Profile Details
| NPI number | 1407871643 |
|---|---|
| LBN Legal business name | Riccelli, Mary S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407871643 | NPPES |
| Colorado | MEDICAID | 41929705 |
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