Individual
TAYLOR RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8210 MID CITIES BLVD STE 120, NORTH RICHLAND HILLS, TX 76180-4701
(817) 969-6030
(817) 969-6039
Mailing address
4317 CEDAR SPRINGS RD APT C, DALLAS, TX 75219-6634
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1111962
TX
363LA2100X
Acute Care Nurse Practitioner
873008
TX
Other
Enumeration date
03/07/2023
Last updated
10/06/2023
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