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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDRA C RICICA, CRNA

Active Sole Proprietor

AUDRA C RICICA, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FORT WAYNE, Indiana. NPI 1790769099 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · FORT WAYNE, IN

Registration Details

NPI Number
1790769099
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2005 (20.659325799927 yrs)
Last Updated
Oct 30, 2018
Licenses
RN-252552 (OH)
28188589A (IN)
Sole Proprietor
Yes

Practice Information

Address
5050 N CLINTON ST
FORT WAYNE, IN, 468255886
Browse IN providers · Browse ZIP 46825
Phone
2604848551
Fax
2604825060
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in FORT WAYNE, IN

Name Credential NPI
SUSAN E BADENHORST CRNA 1528069960
DANIEL L BAUER CRNA 1720089188
JANET S BOECKMANN CRNA 1538160999
LISA A TOMPA CRNA 1013919018
MS. LORI L HOCKENBERRY CRNA 1407840721
DR. STEPHEN JAMES HATCH MD 1508839689
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.