| NPI | 1639461254 |
|---|---|
| Former Name | HEIDI ANN RIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9264151) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2025-06-11 |