Individual provider · Type 1 NPI
Serena Rae Ridenhour, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1174082465
Active
Practice location
525 S Tryon St
Charlotte, NC 28202-1839
Fax (704) 943-1571
Mailing address
2431 Mount Pleasant Rd W
Mount Pleasant, NC 28124-9566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5011571 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174082465
Serena Rae Ridenhour, FNP's National Provider Identifier is 1174082465, issued on Mar 15, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 16, 2025.