Individual
ROBIN LEE ANN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 434-1801
Mailing address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009606A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033536
—
IN
Enumeration date
09/26/2019
Last updated
10/24/2022
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