Individual
MONIKA RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704150473
MI
363LA2100X
Acute Care Nurse Practitioner
4704150473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538397120
GROUP NPI
MI
01
—
270381199
GROUP TAX ID
MI
05
—
4382717-
—
MI
01
—
500019851
RAILROAD MEDICARE
MI
Enumeration date
07/30/2006
Last updated
03/07/2023
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