JAN RIDDER ARNP NPI 1376873646

NPI Information

NPI: 1376873646
Provider Name: JAN RIDDER, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2135 WOODBOURNE AVE
LOUISVILLE, KY
ZIP 40205
Phone: (502) 459-4328
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Jan Ridder, ARNP is a family nurse practitioner in Louisville, KY. Jan Ridder, ARNP NPI is 1376873646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2135 WOODBOURNE AVE
LOUISVILLE, KY
ZIP 40205-911
Phone: (502) 459-4328

The NPI 1376873646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 2/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	6321P	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3006321	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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