Individual provider · Type 1 NPI
Katherine Riddle, AGACNP-BC
Acute Care Nurse Practitioner · Southgate, MI
NPI number
1336922244
Active
Practice location
15750 Northline Rd
Southgate, MI 48195-2378
Fax (734) 357-0506
Mailing address
205 N East Ave
Jackson, MI 49201-1753
Other practice locations
- 205 N East Ave, Jackson, MI 49201-1753 · (517) 205-4800
- 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704318916 (MI) |
Acute Care Nurse Practitioner: Definition to come...
4 other providers at this address
- Mayur Patel MD PCMedical Oncology Physician Southgate, MI NPI 1144943655
- Michigan Hematology & Oncology Institute, P.c.Medical Oncology Physician Southgate, MI NPI 1255432324
- Brandon Karjo, AGPCNPGerontology Nurse Practitioner Southgate, MI NPI 1437011848
- Kelli Lynn Frost, PACPhysician Assistant Southgate, MI NPI 1982939732
About NPI 1336922244
Katherine Riddle, AGACNP-BC's National Provider Identifier is 1336922244, issued on Aug 15, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Southgate, MI. The record was last updated on Aug 4, 2025.