Individual
ANNA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356-2327
(859) 887-8400
(859) 885-8448
Mailing address
110 VILLAGE PKWY, NICHOLASVILLE, KY 40356-2327
(859) 887-8400
(859) 885-8448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28212042A
IN
363L00000X
Nurse Practitioner
Primary
3005304
KY
363LA2100X
Acute Care Nurse Practitioner
42001
KY
363LA2100X
Acute Care Nurse Practitioner
71004669A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000840269
ANTHEM
IN
05
—
201237080
—
IN
Enumeration date
10/01/2007
Last updated
01/05/2016
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