Ricarda Nicole Carson

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Devon, PA

NPI 1497586697 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1497586697
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
RN628721 (PA)
Practice address
235 W Lancaster Ave
Devon, PA 19333-1560
Phone
(484) 551-3366
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN628721PAMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN628721 PA Yes

Addresses

Primary practice location

235 W Lancaster Ave
Devon, PA 19333-1560

Mailing address

108 W Spring Ave Apt 3
Ardmore, PA 19003-1232
Phone (610) 348-4405

Other providers in Devon, PA

All providers in Devon, PA · Adult Psychiatric/Mental Health Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.