Provider Demographics
NPI:1093153140
Name:RIGDON, JOAN ELAINE (NP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ELAINE
Last Name:RIGDON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60127
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91116-6127
Mailing Address - Country:US
Mailing Address - Phone:626-429-8911
Mailing Address - Fax:626-462-2653
Practice Address - Street 1:300 WEST HUNTINGTON DRIVE
Practice Address - Street 2:HUNTINGTON HOSPITAL OCCUPATIONAL HEALTH DEPARTMENT
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91066
Practice Address - Country:US
Practice Address - Phone:626-474-3462
Practice Address - Fax:626-462-2653
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7240363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care