Riddle, Angela Mae

Riddle, Angela Mae is an individual health care provider with primary practice located at 335 Pleasant Point Dr , Beaufort SC 29907-1164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riddle, Angela Mae can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
335 Pleasant Point Dr Beaufort SC 29907-1164
Fax: (866) 527-0937
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4425 South Carolina

Profile Details

NPI number 1104121730
LBN Legal business name Riddle, Angela Mae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2011
Last updated Sep 2nd, 2013 - about 11 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 1104121730 NPPES
South Carolina MEDICAID NP1857

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