Individual
ANN ELIZABETH RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1332 KELLNER ST, MANITOWOC, WI 54220-1515
(920) 918-1173
Mailing address
1332 KELLNER ST, MANITOWOC, WI 54220-1515
(920) 918-1173
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
133616-30
WI
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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