Individual
LAURA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
110 KINGSLEY LN, SUITE 411, NORFOLK, VA 23505-4614
(757) 889-5040
Mailing address
110 KINGSLEY LN, SUITE 411, NORFOLK, VA 23505-4614
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171766
VA
Other
Enumeration date
06/25/2014
Last updated
01/23/2017
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