Individual
SUSAN RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
6901 N 72ND STREET, ATTN: DIABETIC EDUCATION, OMAHA, NE 68122
(402) 398-6255
(402) 829-8513
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
48755
NE
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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