Individual
MRS. DEBORAH J RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN. CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
309001170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4521469
BC/BS
IL
Enumeration date
09/21/2006
Last updated
08/29/2014
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