Elizabeth C. Ridley, PA
Physician Assistant in Swansea, IL. Individual provider (NPI-1).
NPI number1801036629
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1801036629
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth C. Ridley
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2009
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085004498 | IL | Yes |
Practice location
4948 Benchmark Centre DrSwansea, IL 62226-2027
Phone 618-628-2588 · Fax 618-628-1363
Mailing address
4948 Benchmark Centre DrSwansea, IL 62226-2027
Phone 618-628-2588 · Fax 618-628-1363
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Other Physician Assistant providers in Swansea, IL
- Jennifer Adams, PANPI 1013980150
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- Fazillah Faiz, PA-CNPI 1093359150
- Alisia M Schmidt, PA-CNPI 1902247950
All 5 Physician Assistant providers in Swansea · All 549 providers in Swansea
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