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Individual

ASHLEY RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1508 EDGEMONT BLVD, PERRYVILLE, MO 63775-1231
(573) 168-3220
(573) 519-5330
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
(573) 472-7475

Taxonomy

Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
2008003886
MO
363LF0000X
Family Nurse Practitioner
Primary
2017024421
MO
363LF0000X
Family Nurse Practitioner
22748
TN

Other

Enumeration date
05/15/2017
Last updated
02/10/2026
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