Provider Demographics
NPI:1568933877
Name:RIDENHOUR, APRIL MARIE (PA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:RIDENHOUR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:BECKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1749
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28370-1749
Mailing Address - Country:US
Mailing Address - Phone:910-295-6868
Mailing Address - Fax:
Practice Address - Street 1:10 PAGE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8848
Practice Address - Country:US
Practice Address - Phone:910-295-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-13
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant