Individual
MS. KAREN LYNN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2828 N STONE AVE, TUCSON, AZ 85705-4503
(520) 245-6650
Mailing address
2828 N STONE AVE, TUCSON, AZ 85705-4503
(520) 245-6650
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN00099474
WA
163WG0000X
General Practice Registered Nurse
RN128384
AZ
363LF0000X
Family Nurse Practitioner
000-00-4767
TX
363LF0000X
Family Nurse Practitioner
Primary
AP1993
AZ
363LF0000X
Family Nurse Practitioner
AP30005175
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
66740254405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876196
—
AZ
Enumeration date
10/05/2006
Last updated
03/07/2024
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