Individual
RYANE MERIDYTH RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2790 CLAY EDWARDS DR STE 1250, NORTH KANSAS CITY, MO 64116-3260
(816) 421-3700
(816) 421-1654
Mailing address
8921 E 81ST ST, RAYTOWN, MO 64138-1506
(913) 205-9013
(913) 674-5563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007028742
MO
363LG0600X
Gerontology Nurse Practitioner
2007028742
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952634297
—
MO
05
—
200640620A
—
KS
01
—
P01045246
RAILROAD MEDICARE
MO
Enumeration date
09/17/2009
Last updated
07/18/2012
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