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NPI Code Detail

MEDICARE: DAVID W. RIDER DNP, CRNA

MEDICARE: DAVID W. RIDER DNP, CRNA
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
1163W00000XRegistered Nurse3032652NC
2367500000XCertified Registered Nurse Anesthetist302652NC

General Provider Information

NPI Number : 1396318358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W. RIDER DNP, CRNA
Provider Business Mailing Address
First Line : 323 E CHAPEL HILL ST UNIT 511
Second Line :
City : DURHAM
State : NC
Zip : 27702-2423
Country : US
Telephone Number : 440-465-6169
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 984-974-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 12/15/2025

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