Individual
BECKY DARLENE RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
331 LAIDLEY ST, CHARLESTON, WV 25301-1619
(304) 347-6240
Mailing address
331 LAIDLEY ST, CHARLESTON, WV 25301-1619
(304) 347-6240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35566
WV
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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