Provider Demographics
NPI:1003146333
Name:RIDDLE, APRIL VIRGINIA (RT)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:VIRGINIA
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 N 5TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3061
Mailing Address - Country:US
Mailing Address - Phone:208-664-5690
Mailing Address - Fax:
Practice Address - Street 1:815 N 5TH ST APT 1
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3061
Practice Address - Country:US
Practice Address - Phone:208-664-5690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4352352471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography