Doctor Name: | MS. ROBIN ELIZABETH RIDDLE |
NPI Number: | 1619346509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | APRN49437-NP-C |
Business Practice Address: | 5600 Burkes Garden Rd Tazewell, VA - 246518490 |
Business Phone Number: | 2769790030 |
Business Fax Number: | |
Mailing Address: | 29306 Governor C Peery Highway, NORTH TAZEWELL |
State: | VA |
Postal Code: | 24630 |
Phone Number: | 2769790030 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN49437-NP-C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |