Individual provider · Type 1 NPI
Leslie Riddle
Family Nurse Practitioner · Provo, UT
NPI number
1639750169
Active
Practice location
1231 Camelot Dr
Provo, UT 84601-1454
Mailing address
1840 S 1300 E
Salt Lake City, UT 84105-3617
Other practice locations
- 1840 S 1300 E, Salt Lake City, UT 84105-3617 · (801) 832-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 277694-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639750169
Leslie Riddle's National Provider Identifier is 1639750169, issued on Apr 16, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Dec 29, 2023.