Individual
NATHAN E RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
10 THOMAS HOLLOW RD, LUCASVILLE, OH 45648-8889
(740) 259-5699
(740) 259-2186
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-7942
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053651
—
OH
Enumeration date
10/14/2010
Last updated
12/16/2020
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