person
Idris Riddick, LPN
Licensed Practical Nurse in Philadelphia, Pennsylvania
NPI 1528543204

Idris Riddick is a Licensed Practical Nurse based in Philadelphia, PA. Idris Riddick practices in Philadelphia, PA and has the professional credentials of LPN. The NPI Number for Idris Riddick is 1528543204 and holds a License No. PN308356 (Pennsylvania).

The current practice location address for Idris Riddick is 3872 Wyalusing Ave, Philadelphia, PA and can be reached out via phone at 610-679-1723.

Location: 3872 Wyalusing Ave, Philadelphia, PA, 19104-1124
person
Provider Profile Details
NPI Number
1528543204
Provider Name
Idris Riddick
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
3872 Wyalusing Ave, Philadelphia, PA, 19104-1124
Phone Number
610-679-1723
Fax Number
Provider Enumeration Date
09/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3872 Wyalusing Ave
City
State
Zip
19104-1124
Phone Number
610-679-1723
Fax Number
person
Provider Business Mailing Address Details
Address
3872 Wyalusing Ave
City
State
Zip
19104-1124
Phone Number
610-679-1723
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
PN308356 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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