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Individual

SUZANNE RICCIARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1130 E FAIRVIEW AVE, MERIDIAN, ID 83642-1813
(208) 895-6729
(208) 855-5921
Mailing address
PO BOX 314, MERIDIAN, ID 83680-0314
(208) 895-6729
(208) 855-5921

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1509A
ID
363LF0000X
Family Nurse Practitioner
N-37560
ID

Other

Enumeration date
11/25/2014
Last updated
03/17/2021
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