Individual
HAILLE ANN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
989 RIBAUT RD, BEAUFORT, SC 29902-5472
(843) 522-5600
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.477970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG04220032
AANP BOARD CERTIFICATION
—
Enumeration date
04/27/2022
Last updated
04/27/2022
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