| Kristen Anne Ricciardi, CRNP | |
|
1140 Quincy Ave, Dunmore, PA 18510-1150 | |
| (570) 983-0360 | |
| (570) 983-0375 |
| Full Name | Kristen Anne Ricciardi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1140 Quincy Ave, Dunmore, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003290495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP015085 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Advanced Inpatient Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
| Entity Name | Hospitalist Services At Moses Taylor, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497366207 PECOS PAC ID: 7911326509 Enrollment ID: O20201001000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Anne Ricciardi, CRNP 1140 Quincy Ave, Dunmore, PA 18510-1150 Ph: (570) 983-0360 | Kristen Anne Ricciardi, CRNP 1140 Quincy Ave, Dunmore, PA 18510-1150 Ph: (570) 983-0360 |
Patricia Sweeney, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1208 O'neil Highway, Dunmore, PA 18512 Phone: 570-207-2612 | |
Mrs. Christine A Hamer I, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 S Apple St, Dunmore, PA 18512 Phone: 570-963-8803 Fax: 570-963-7877 | |
Jacqueline Kobal, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Meade St, Dunmore, PA 18512 Phone: 570-342-3675 Fax: 570-342-3316 | |
Ms. Suzette Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 Phone: 570-209-7160 Fax: 570-209-7164 | |
Jenifer Brilla, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 N Blakely St, Dunmore, PA 18512 Phone: 570-342-8434 Fax: 570-342-7446 |