Provider Demographics
NPI:1871844324
Name:RYDER, DENISE F (FAMILY ADVOCATE)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:F
Last Name:RYDER
Suffix:
Gender:F
Credentials:FAMILY ADVOCATE
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:F
Other - Last Name:RYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FAMILY ADVOCATE
Mailing Address - Street 1:67 CHOPTEAQUE LN
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-1633
Mailing Address - Country:US
Mailing Address - Phone:508-420-0433
Mailing Address - Fax:
Practice Address - Street 1:67 CHOPTEAQUE LN
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1633
Practice Address - Country:US
Practice Address - Phone:508-420-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker