Riordan, Brooke
Riordan, Brooke is an sole proprietor health care provider with primary practice located at 937 Franklin Blvd , Lemoore CA 93246-2559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Riordan, Brooke can be contacted via phone (559) 998-4262.Contact Information
Primary practice address
937 Franklin Blvd
Lemoore CA 93246-2559
Phone: (559) 998-4262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28272 | Tennessee |
Profile Details
| NPI number | 1508456880 |
|---|---|
| LBN Legal business name | Riordan, Brooke |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Sep 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508456880 | NPPES |
| Tennessee | MEDICAID | 1508456880 | |
| Tennessee | MEDICAID | 28272 |
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