Individual
PATRICIA M RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915
(920) 730-4411
Mailing address
1531 S MADISON ST, APPLETON, WI 54915
(920) 730-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
75770
WI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1939033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41196600
—
WI
01
—
47129
NETWORK HEALTH PLAN
—
01
—
P00149053
RAILROAD MEDICARE
—
01
—
P46638
CIGNA
—
Enumeration date
07/16/2006
Last updated
09/09/2008
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