Provider Demographics
NPI:1265683858
Name:RIGGENBACH, BARBARA S (CNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:RIGGENBACH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:SUSAN
Other - Last Name:RIGGENBACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNP
Mailing Address - Street 1:725 BUCKLES COURT NORTH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230
Mailing Address - Country:US
Mailing Address - Phone:614-471-9654
Mailing Address - Fax:614-392-4586
Practice Address - Street 1:725 BUCKLES COURT NORTH
Practice Address - Street 2:SUITE 100
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230
Practice Address - Country:US
Practice Address - Phone:614-471-9654
Practice Address - Fax:614-392-4586
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.10044363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2898904Medicaid
OHNP28421Medicare PIN