Individual
ALYSSA RIDAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W THOMAS RD STE 100, PHOENIX, AZ 85013-4255
(602) 406-1510
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
280770
AZ
Other
Enumeration date
09/14/2022
Last updated
08/05/2024
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