Individual
KAILEY LOUISE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686-8683
(231) 421-6921
Mailing address
376 WAXWING DR, TRAVERSE CITY, MI 49696-8578
(517) 617-9507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03220441
MI
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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