| Doctor Name: | MRS. MARY JANE RICKARD |
| NPI Number: | 1235126863 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN45107 |
| Business Practice Address: | 480 Central Ave Naval Health Clinic Pearl Harbor, HI - 968604908 |
| Business Phone Number: | 8082575041 |
| Business Fax Number: | 8082575653 |
| Mailing Address: | 91-1079 Makahaiaku St, KAPOLEI |
| State: | HI |
| Postal Code: | 967073006 |
| Phone Number: | 8082575041 |
| Fax Number: | 8082575653 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN45107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |