Individual
VICTORIA MARLEE RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1949 FLORENCE BLVD, FLORENCE, AL 35630-2729
(256) 415-8100
Mailing address
509 W 5TH ST, IUKA, MS 38852-1602
(662) 660-6085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
917007
MS
363LF0000X
Family Nurse Practitioner
Primary
3-001162
AL
Other
Enumeration date
01/13/2023
Last updated
01/30/2023
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