Organization
HOMEGROWN ESSENTIAL WELLNESS PEDIATRICS & FAMILY.
Active
Other names
Homegrown Essential Wellness Pediatrics & Family., Homegrown Essential Wellness Pediatrics & Family
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN RIDDLE DNP (DNP)
(631) 248-2700
Entity
Organization
Contact information
Practice address
257 E MAIN ST, SMITHTOWN, NY 11787-2807
(631) 248-2700
(866) 456-0906
Mailing address
257 E MAIN ST STE B, SMITHTOWN, NY 11787-2807
(631) 248-2700
(866) 456-0906
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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