Individual
KATHERINE B RIEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
60 S STOCKWELL RD, EVANSVILLE, IN 47714-0247
(812) 476-5437
(812) 422-7558
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71002619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569689
ANTHEM
IN
01
—
11851763
CAQH
IN
05
—
200901730
—
IN
01
—
71002619B
CSR
IN
Enumeration date
04/09/2008
Last updated
03/07/2023
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