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Individual

ASHLEY MORAN RISDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
4 W 58TH ST, NEW YORK, NY 10019-2515
(212) 249-0949
Mailing address
4 W 58TH ST FL 12, NEW YORK, NY 10019-2515
(917) 660-4179

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11004889
FL
363LF0000X
Family Nurse Practitioner
Primary
347550
NY
363LF0000X
Family Nurse Practitioner
8617
CT

Other

Enumeration date
10/30/2019
Last updated
09/06/2023
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