Individual
ELIZABETH A RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
136 S WILSON ST, DRESDEN, TN 38225-1133
(731) 352-7907
(731) 364-4900
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512644
—
TN
01
—
3380640
MEDICARE GROUP
TN
Enumeration date
10/05/2005
Last updated
10/05/2022
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