Individual provider · NPI-1
Ann Elizabeth Riddle, RN
Registered Nurse, General Practice · Manitowoc, WI
NPI number1245896471
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1245896471
- Entity type
- Individual (NPI-1)
- Name
- Ann Elizabeth Riddle
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2019
- Last updated
- May 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 133616-30 | WI | Yes |
Practice location
1332 Kellner StManitowoc, WI 54220-1515
Phone 920-918-1173
Mailing address
1332 Kellner StManitowoc, WI 54220-1515
Phone 920-918-1173
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