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Individual

MRS. AMBER LEA RIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
460 MEDICAL PARK DRIVE STE 104, LENOIR CITY, TN 37772-5782
(865) 562-3232
(865) 317-1115
Mailing address
460 MEDICAL PARK DRIVE STE 104, LENOIR CITY, TN 37772-5782
(865) 562-3232
(865) 317-1115

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175397
TN
163W00000X
Registered Nurse
RN0000175397
TN
363LF0000X
Family Nurse Practitioner
Primary
APN17403
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1533224
TN
Enumeration date
10/06/2010
Last updated
02/03/2023
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