Individual
DESTINY MARIE RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
(814) 877-2360
(814) 474-3561
Mailing address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
(814) 877-2360
(814) 474-3561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023290
PA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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