Individual
MS. ANNA ELIZABETH RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
116 MAGNOLIA DR, MOUNT PLEASANT, PA 15666-2482
(724) 771-5030
Mailing address
116 MAGNOLIA DR, MOUNT PLEASANT, PA 15666-2482
(724) 771-5030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064102
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/18/2021
Last updated
10/21/2022
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