Individual
MRS. ELIZABETH JEANINE RIDDLE
Active
Individual
MRS. ELIZABETH JEANINE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119497
LA
163W00000X
Registered Nurse
RN61223549
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
241547
LA
Other
Enumeration date
05/30/2023
Last updated
06/11/2025
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