Heather Michelle Rider
NPI #1972128569 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1972128569
- Entity Type
- Individual
- Name
- Heather Michelle Rider
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 4437 MAIN ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4451
- Phone
- (910) 754-4449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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