Ridgley, Julie A

Ridgley, Julie A is an individual health care provider with primary practice located at 3400 Dexter Ct Suite 101, Davenport IA 52807-3461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ridgley, Julie A can be contacted via phone (563) 344-6600.

Contact Information

Primary practice address
3400 Dexter Ct Suite 101 Davenport IA 52807-3461
Phone: (563) 344-6600
Fax: (563) 344-6699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D-086516 Iowa

Profile Details

NPI number 1477511517
LBN Legal business name Ridgley, Julie A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Nov 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477511517 NPPES
Iowa Other 34796 BLUE CROSS BLUE SHIELD
Iowa Other P00105711 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0415471 BLUE CROSS BLUE SHIELD

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