Individual
JAN RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2135 WOODBOURNE AVE, LOUISVILLE, KY 40205-1911
(502) 459-4328
Mailing address
2135 WOODBOURNE AVE, LOUISVILLE, KY 40205-1911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006321
KY
363LF0000X
Family Nurse Practitioner
6321P
KY
Other
Enumeration date
01/07/2010
Last updated
02/22/2011
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