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Individual

DAWN MARIE RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
225 S COBBS CREEK PKWY, PHILADELPHIA, PA 19139-3723
(215) 476-2223
Mailing address
3607 WINONA ST, PHILADELPHIA, PA 19129-1622
(215) 840-0106

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP024135
PA

Other

Enumeration date
01/15/2022
Last updated
01/15/2022
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