Individual
TRACI ELIZABETH RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 363-8303
Mailing address
628 DEER RIDGE DR, ATKINS, IA 52206-8200
(319) 431-7454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A165971
IA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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