Individual
MS. COLLEEN M RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4220 SHADOW WOOD RUN, WINTER HAVEN, FL 33880-1526
(863) 808-7861
Mailing address
4220 SHADOW WOOD RUN, WINTER HAVEN, FL 33880-1526
(863) 808-7861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1652182
FL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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