Individual
CONSTANCE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5775
(316) 291-7496
Mailing address
1512 E HARRY ST, ANDOVER, KS 67002-8779
(316) 640-8168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44492
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006200D
—
KS
Enumeration date
05/27/2006
Last updated
04/15/2015
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