Individual
GENTRY RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 US 70 HWY E, GARNER, NC 27529-4049
(919) 350-9105
Mailing address
1547 UPCHURCH WOODS DR, RALEIGH, NC 27603-8017
(706) 540-3527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
299546
NC
163WE0003X
Emergency Registered Nurse
Primary
299546
NC
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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