Herman, Rachel Ellen Ridenour

Herman, Rachel Ellen Ridenour is an individual health care provider with primary practice located at 5975 Carmen Ave , Inver Grove Heights MN 55076-4416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Herman, Rachel Ellen Ridenour can be contacted via phone (651) 455-9697.

Contact Information

Primary practice address
5975 Carmen Ave Inver Grove Heights MN 55076-4416
Phone: (651) 455-9697
Fax: (651) 455-2012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X MN R 1297074 Minnesota

Profile Details

NPI number 1992772107
LBN Legal business name Herman, Rachel Ellen Ridenour
Credentials MS RN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992772107 NPPES
Minnesota Other 117512 U CARE
Minnesota Other HP47638 U CARE
Minnesota Other 1046021 U CARE
Minnesota Other 12-03447 U CARE
Minnesota Other 321P1HE U CARE
Minnesota Other 12-03446 U CARE

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