Individual
MS. DEBBIE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 SIPAPU ST # 6952, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-2832
Mailing address
1118 QUINTANA LANE, TAOS, NM 87571
(575) 758-3922
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R61863
NM
163WC1500X
Community Health Registered Nurse
Primary
R61863
NM
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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