MARISA RIDDLE

GLENDALE, AZ
NPI1396203089
Other NameMARISA RIDDLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  278016)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AZ  RN181155)
Enumeration Date2019-03-12
Last Update Date2024-04-08
Business Address
MARISA RIDDLE CRNA
18701 N 67TH AVE
GLENDALE, AZ 85308-7100
Phone number: 623-561-1000
Mailing Address
MARISA RIDDLE CRNA
1514 W BERRIDGE LN
PHOENIX, AZ 85015-2057
Phone number: 480-209-3175