Doctor Name: | MS. MICHELLE ANN RIGER |
NPI Number: | 1255582995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN FNP |
License Number: | 455418 |
Business Practice Address: | 912 Pine St 408 Pine Street Mount Shasta, CA - 960672143 |
Business Phone Number: | 5309267131 |
Business Fax Number: | |
Mailing Address: | 7114 River Ranch Rd, MONTAGUE |
State: | CA |
Postal Code: | 960649598 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 455418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |