Individual
RACHEL ELLEN RIDENOUR HERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS RN CNP
Contact information
Practice address
5975 CARMEN AVE, INVER GROVE HEIGHTS, MN 55076-4416
(651) 455-9697
(651) 455-2012
Mailing address
618 19TH AVE SW, ROCHESTER, MN 55902-0961
(507) 281-4509
(507) 281-2237
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
MN R 1297074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046021
PREFERRED ONE
MN
01
—
117512
U CARE
MN
01
—
12-03446
MEDICA
MN
01
—
12-03447
MEDICA
MN
01
—
321P1HE
BLUE CROSS AND BLUE SHIEL
MN
01
—
HP47638
HEALTHPARTNERS
MN
Enumeration date
03/07/2006
Last updated
07/08/2007
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