Rebecca Ridenour


Address: 810 Toll House Ave, Frederick, MD 21701-4519

Rebecca Ridenour (NPI# 1568909331, PAC ID# 8426326430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1568909331
PAC ID by PECOS 8426326430
Professional Enrollment ID I20170615002520
Full Name Rebecca Ridenour
Address 810 Toll House Ave
Frederick
MD 21701-4519
Gender F
Graduation Year 2009
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
810 Toll House Ave, Frederick, MD 21701-4519

Organization Information

Office Location

Street Address 810 TOLL HOUSE AVE
City FREDERICK
State MD
Zip 21701-4519

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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