Individual
MS. AMANDA LEIGH RIDENHOUR
Active
Individual
MS. AMANDA LEIGH RIDENHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, MED, RD, NP-C
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L002333
NC
133V00000X
Registered Dietitian
LD002434
GA
163WD0400X
Diabetes Educator Registered Nurse
292466
NC
363LF0000X
Family Nurse Practitioner
Primary
5014253
NC
Other
Enumeration date
10/26/2007
Last updated
07/01/2025
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