Provider Demographics
NPI:1497121552
Name:RIORDAN, AMY TOWNSEND (APN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:TOWNSEND
Last Name:RIORDAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 HARDING HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2243
Mailing Address - Country:US
Mailing Address - Phone:609-365-6217
Mailing Address - Fax:609-653-1439
Practice Address - Street 1:5401 HARDING HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2243
Practice Address - Country:US
Practice Address - Phone:609-365-6217
Practice Address - Fax:609-653-1439
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ0013000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily