Individual provider · Type 1 NPI
Mary S. Riedinger, PhD, AGNP-C
Primary Care Nurse Practitioner · Los Angeles, CA
NPI number
1245039825
Active
Practice location
651 N Sepulveda Blvd # 210
Los Angeles, CA 90049-2185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95034163 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95034163 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95034163 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1245039825
Mary S. Riedinger, PhD, AGNP-C's National Provider Identifier is 1245039825, issued on Mar 7, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 7, 2025.