MEDICARE: MRS. XAVIERA MICHELLE RIDLEY LPN

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
1	164W00000X	Licensed Practical Nurse	108125	OH

General Provider Information

NPI Number	:	1750693941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. XAVIERA MICHELLE RIDLEY LPN

Provider Business Mailing Address
First Line	:	3415 ANACONDA DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-3703
Country	:	US
Telephone Number	:	513-254-3638
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 ANACONDA DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-3703
Country	:	US
Telephone Number	:	513-254-3638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	07/05/2010

Similar Medicare Providers

1578028148 — MARQUITA S MCCLENDON
Practice Location Address:

3449 ANACONDA DR
CINCINNATI, OH
45211-3703

Practice Phone: 513-309-4638
Practice Fax:

1346980794 — CARIAH J COX BSSW, LSW
Practice Location Address:

3437 ANACONDA DR
CINCINNATI, OH
45211-3703

Practice Phone: 513-374-5934
Practice Fax:

1609806223 — DR. SHEILA CLAIRE GELMAN MD, MS
Practice Location Address:

6755 W BEECHLANDS DR
CINCINNATI, OH
45237-3703

Practice Phone: 513-351-0919
Practice Fax:

1912402140 — KATHERINE MARIE CONNELLY MD
Practice Location Address:

3703 GROVEDALE PL APT 2
CINCINNATI, OH
45208-1108

Practice Phone: 720-840-0147
Practice Fax:

1598636151 — JULIAN WILKISON IV
Practice Location Address:

2217 CANDLEMAKER DR
CINCINNATI, OH
45244-3703

Practice Phone: 513-266-8573
Practice Fax:

1689532418 — CRYSTALL R YOUNG
Practice Location Address:

3803 DINA TER APT 8
CINCINNATI, OH
45211-6525

Practice Phone: 513-413-9370
Practice Fax: 513-413-9370

Directions to “ MRS. XAVIERA MICHELLE RIDLEY LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.