Individual provider · Type 1 NPI
Michelle Lynn Ridgeway, CRNP
Psychiatric/Mental Health Nurse Practitioner · Frederick, MD
NPI number
1730677121
Active
Practice location
400 W 7th St
Frederick, MD 21701
Fax (240) 439-8910
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Other practice locations
- 200 Memorial Ave, Westminster, MD 21157-5726 · (410) 871-3000
- 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 · (800) 370-3651
- 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 · (800) 370-3651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP018753 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R157571 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730677121
Michelle Lynn Ridgeway, CRNP's National Provider Identifier is 1730677121, issued on May 1, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Frederick, MD. The record was last updated on Jul 30, 2019.