Individual
CHARLOTTE E RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3250 W LAKE RD LOWR LEVEL, ERIE, PA 16505-3691
(814) 454-1085
(814) 240-3976
Mailing address
2104 ZIMMERLY RD, ERIE, PA 16509-6213
(814) 454-1085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010001
PA
Other
Enumeration date
04/10/2009
Last updated
01/14/2020
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