| Doctor Name: | MRS. KRISTINE POET RIDYARD |
| NPI Number: | 1376691550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 001823 |
| Business Practice Address: | University Of Ct Student Health Services 234 Glenbrook Drive Unit 2011 Storrs Mansfield, CT - 062690001 |
| Business Phone Number: | 8604873427 |
| Business Fax Number: | |
| Mailing Address: | 65 Fieldstone Dr, STORRS MANSFIELD |
| State: | CT |
| Postal Code: | 062682573 |
| Phone Number: | 8604295443 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 001823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |