Evan Lewis Ridenour
Evan Lewis Ridenour is an Independent Duty Corpsman in Virginia Beach, Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
472 Polaris St Bldg 586Virginia Beach, VA 23461-1935
Phone: (757) 862-2745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1477164143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2020 |
| Last updated in NPPES | June 8, 2023 |
| Certification date | June 8, 2023 |
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