Riddle, Marisa
Riddle, Marisa is an sole proprietor health care provider with primary practice located at 18701 N 67Th Ave , Glendale AZ 85308-7100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Riddle, Marisa can be contacted via phone (623) 561-1000.Contact Information
Primary practice address
18701 N 67Th Ave
Glendale AZ 85308-7100
Phone: (623) 561-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 278016 | Arizona |
Nursing Service Providers / Registered Nurse | 163W00000X | RN181155 | Arizona |
Profile Details
NPI number | 1396203089 |
---|---|
LBN Legal business name | Riddle, Marisa |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 12th, 2019 |
Last updated | Apr 8th, 2024 - about 8 months 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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