Individual provider · Type 1 NPI
Miranda Rose Ridenour, MSN, NP, AGNP-C
Gerontology Nurse Practitioner · Kalamazoo, MI
NPI number
1316739873
Active
Practice location
601 John St
Kalamazoo, MI 49007-5341
Mailing address
11640 Edgewood Rd
Bellevue, MI 49021-9754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704324940 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1316739873
Miranda Rose Ridenour, MSN, NP, AGNP-C's National Provider Identifier is 1316739873, issued on May 20, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kalamazoo, MI. The record was last updated on Aug 7, 2025.