Provider Demographics
NPI:1558540518
Name:RIDENHOUR, AMANDA LEIGH (NP-C, MSN, RN, RD)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:LEIGH
Last Name:RIDENHOUR
Suffix:
Gender:F
Credentials:NP-C, MSN, RN, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:750 ALLIANCE CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2248
Mailing Address - Country:US
Mailing Address - Phone:828-670-6812
Mailing Address - Fax:828-670-5703
Practice Address - Street 1:750 ALLIANCE CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2248
Practice Address - Country:US
Practice Address - Phone:828-670-6812
Practice Address - Fax:828-670-5703
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALD002434133V00000X
NCL002333133V00000X
NC292466163WH0200X
NC5014253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No163WH0200XNursing Service ProvidersRegistered NurseHome Health