IndividualActive
Audra Ricica, CRNA
NPI 1790769099 · Certified Registered Nurse Anesthetist · Fort Wayne, IN
Provider details
- NPI number
- 1790769099
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN-252552 (OH)
Practice location
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.