Individual
CORINNE E RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5150 ALLISON ST, ARVADA, CO 80002-4316
(303) 423-8836
(720) 540-4027
Mailing address
10392 W FLORIDA AVE APT C, LAKEWOOD, CO 80232-5070
(303) 989-7617
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
42827
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841331444
—
CO
Enumeration date
07/18/2005
Last updated
10/03/2012
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