MRS. AMY SUE RIDENOUR MSN FNP-C NPI 1609494814

NPI Information

NPI: 1609494814
Provider Name: MRS. AMY SUE RIDENOUR, MSN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
429 N DOUGLAS DR
REPUBLIC, MO
ZIP 65738
Phone: (417) 350-9327
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MRS. Amy Sue Ridenour, MSN, FNP-C is a family nurse practitioner in Republic, MO. MRS. Amy Sue Ridenour, MSN, FNP-C NPI is 1609494814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

429 N DOUGLAS DR
REPUBLIC, MO
ZIP 65738-525
Phone: (417) 350-9327

The NPI 1609494814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2020016165	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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