Individual
MICHELLE RENEE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AZ - 86, SELLS, AZ 85634
(520) 383-7251
Mailing address
1157 CRANBERRY ST, ALBANY, MN 56307-4518
(320) 828-0698
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1645655
MN
163WM0705X
Medical-Surgical Registered Nurse
219771
AZ
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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