Individual
RYAN G RIDENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9309052
FL
163W00000X
Registered Nurse
RN 338558
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 14410-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083383
—
OH
01
—
338558
OHIO RN LICENSE
OH
01
—
P01179944
MEDICARE RAILROAD
OH
Enumeration date
03/13/2013
Last updated
05/20/2015
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