Individual provider · Type 1 NPI
Ardyce Jane Ridolfo, MSN, D.PHIL, GNP, FNP
Gerontology Nurse Practitioner · East Ridge, TN
NPI number
1174567416
Active
Practice location
1508 Tombras Avenue
East Ridge, TN 37412-2720
Fax (423) 867-4971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6124 (TN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 6124 (TN) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1174567416
Ardyce Jane Ridolfo, MSN, D.PHIL, GNP, FNP's National Provider Identifier is 1174567416, issued on Jun 16, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in East Ridge, TN. The record was last updated on Sep 12, 2014.