Individual
MARTHA Y RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1413 N ELM ST STE 201, HENDERSON, KY 42420-2767
(270) 827-8662
(270) 826-8220
Mailing address
1305 N ELM ST, MEDICAL STAFF OFFICE, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 827-7475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1117672
KY
363LF0000X
Family Nurse Practitioner
Primary
3008270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100258970
—
KY
Enumeration date
08/06/2013
Last updated
03/17/2022
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