Individual
MIRANDA ROSE RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP, AGNP-C
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(517) 899-9524
Mailing address
11640 EDGEWOOD RD, BELLEVUE, MI 49021-9754
(517) 899-9524
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704324940
MI
Other
Enumeration date
05/20/2025
Last updated
08/07/2025
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