Individual
ELIZABETH MARIE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4955 NORTON HEALTHCARE BLVD STE 102, LOUISVILLE, KY 40241-2832
(502) 394-6415
(502) 244-0684
Mailing address
4955 NORTON HEALTHCARE BLVD STE 102, LOUISVILLE, KY 40241-2832
(502) 394-6415
(502) 244-0684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
166845
KY
133V00000X
Registered Dietitian
37003207A
IN
133VN1301X
Oncology Nutrition Registered Dietitian
166845
KY
133VN1301X
Oncology Nutrition Registered Dietitian
37003207A
IN
Other
Enumeration date
09/21/2020
Last updated
09/22/2020
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