Most Relevant Information
Provider Data
| NPI Number: | 1003290495 |
| Provider Name: | KRISTEN ANNE RICCIARDI CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP015085 |
Most Important Dates
| Enumeration Date: | 07/15/2015 |
| Last Updated: | 10/29/2024 |
Provider Practice Location
358 HAMLIN HWY
HAMLIN
PA
184270430
Practice Location Phone/Fax
| Phone: | 5706892242 |
| Fax: | 5706893416 |
Provider Mailing Location
1140 QUINCY AVE
DUNMORE
PA
185101150
Provider Mailing Phone/Fax
| Phone: | 5709830360 |
| Fax: | 5709830375 |