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Organization
MICCA R. RIEDEL NP PLLC
Active
Organization
MICCA R. RIEDEL NP PLLC
Active
Other names
Riedel Family Practice and Geriatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICCA R RIEDEL NP (OWNER)
(409) 291-8710
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR STE 130, ORANGE, TX 77630-4788
(409) 291-8710
(409) 247-2105
Mailing address
610 STRICKLAND DR STE 130, ORANGE, TX 77630-4788
(409) 291-8710
(409) 247-2105
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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