Organization
FAITH FORWARD PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSIE RENEE RIDER PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(715) 222-5958
Entity
Organization
Contact information
Practice address
7900 INTERNATIONAL DR STE 300-7007, BLOOMINGTON, MN 55425-1510
(715) 222-5958
Mailing address
1429 MAGEE CT, LITTLE RIVER, SC 29566-5927
(715) 222-5958
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/12/2024
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