Individual
MARIBETH RIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, RDH
Contact information
Practice address
1430 FREEDOM BLVD STE B, WATSONVILLE, CA 95076-2780
(831) 763-8200
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
697504
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18870
NURSE PRACTITIONER FURNISHING LICENSE
CA
01
—
2012001567
ANCC B CERTIFICATION#
CA
01
—
FHC40044F
SANTA CRUZ COUNTY MEDICAID GROUP NUMBER
CA
01
—
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
07/02/2008
Last updated
05/22/2015
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