Active NPIIndividual provider

Sophia S Rickevicius, FAMILY NURSE PRACTIT

Nurse Practitioner, Family in New Milford, Connecticut

NPI Number1912472093
Practice location
30 Park Ln E, New Milford, CT 06776-2510
Fax
—
Last updated
October 4, 2018

Sophia Stephanie Rickevicius is a Nurse Practitioner, Family based in New Milford, CT. Sophia Stephanie Rickevicius practices in New Milford, CT and has the professional credentials of FAMILY NURSE PRACTIT. The NPI Number for Sophia Stephanie Rickevicius is 1912472093 and holds a License No. 7866 (CT). The current practice location address for Sophia Stephanie Rickevicius is 30 Park Ln E, New Milford, CT 06776-2510 and can be reached out via phone at 860-355-0971.

Provider Profile Details

NPI Number
1912472093
Provider Name
Sophia Stephanie Rickevicius
Credential
FAMILY NURSE PRACTIT
Provider Entity Type
Individual
Gender
Female
Address
30 Park Ln E, New Milford, CT 06776-2510
Phone Number
860-355-0971
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2018
Last Update Date
October 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Park Ln E
New Milford, CT 06776-2510
Zip
06776-2510
Phone Number
860-355-0971
New Milford, CT 06776Get directions →

Provider Business Mailing Address Details

Address
2461 Litchfield RD
Watertown, CT 06795-1015
City
Watertown
State
CT
Zip
06795-1015
Phone Number
860-689-3919

License Information

License Number
7866
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sophia S Rickevicius, FAMILY NURSE PRACTIT?

The NPI number of Sophia S Rickevicius, FAMILY NURSE PRACTIT is 1912472093. It was assigned on October 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Sophia S Rickevicius, FAMILY NURSE PRACTIT?

Sophia S Rickevicius, FAMILY NURSE PRACTIT is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7866.

Where does Sophia S Rickevicius, FAMILY NURSE PRACTIT practice?

The practice location is 30 Park Ln E, New Milford, CT 06776-2510. The office can be reached at 860-355-0971 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912472093 directly on the NPPES registry website.

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