person
Leslie Riddle
Family Nurse Practitioner in Provo, Utah
NPI 1639750169

Leslie Riddle is a Family Nurse Practitioner based in Salt Lake City, UT and is specialized in Family. Leslie Riddle practices in Provo, UT. The NPI Number for Leslie Riddle is 1639750169 and holds a License No. (Utah).

The current practice location address for Leslie Riddle is 1231 Camelot Dr, Provo, UT and can be reached out via phone at 801-691-9875.

Location: 1231 Camelot Dr, Provo, UT, 84105-3617
person
Provider Profile Details
NPI Number
1639750169
Provider Name
Leslie Riddle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1231 Camelot Dr, Provo, UT, 84105-3617
Phone Number
801-691-9875
Fax Number
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1231 Camelot Dr
City
State
Zip
84601-1454
Phone Number
801-691-9875
Fax Number
person
Provider Business Mailing Address Details
Address
1231 Camelot Dr
City
State
Zip
84601-1454
Phone Number
801-691-9875
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
277694-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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