Individual
ROBYN L RIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(800) 862-9980
(314) 362-1185
Mailing address
P O BOX 60352 DEPT OF ANESTHESIOLOGY, SAINT LOUIS, MO 63160-0352
(314) 273-0500
(314) 273-0455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430050449
RAILROAD MEDICARE
MO
05
—
919684019
—
MO
Enumeration date
05/05/2006
Last updated
10/01/2024
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