Ridore, Chanon Esha

Ridore, Chanon Esha is an individual health care provider with primary practice located at 715 S 8Th St , Minneapolis MN 55404-1210. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ridore, Chanon Esha can be contacted via phone (612) 873-6963.

Contact Information

Primary practice address
715 S 8Th St Minneapolis MN 55404-1210
Phone: (612) 873-6963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2058 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2058 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2058 Minnesota

Profile Details

NPI number 1225274632
LBN Legal business name Ridore, Chanon Esha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Aug 6th, 2020 - about 5 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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