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NPI Code Detail

MEDICARE: MRS. MARILYN ANN RIGGLE CRNP

MEDICARE: MRS. MARILYN ANN RIGGLE CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerNP09023OH

General Provider Information

NPI Number : 1770655235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARILYN ANN RIGGLE CRNP
Provider Business Mailing Address
First Line : 1088 NILES CORTLAND RD NE
Second Line :
City : WARREN
State : OH
Zip : 44484-1005
Country : US
Telephone Number : 330-299-1082
Fax Number : 330-299-1082
Provider Business Practice Location Address
First Line : 77 E MIDLOTHIAN BLVD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44507-2021
Country : US
Telephone Number : 330-788-6506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MARILYN ANN RIGGLE CRNP” Practice Location

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