Organization
NANCY RIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY D RIDER MSN, ARNP (OWNER)
(509) 242-2200
Entity
Organization
Contact information
Practice address
507 S WASHINGTON, SPOKANE, WA 99204
(509) 242-2200
(509) 242-2202
Mailing address
122 N RAYMOND, STE 20, SPOKANE VALLEY, WA 99206-6832
(509) 926-1770
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN00100823
WA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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