Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE RIDDLE, AGACNP-BC
Active Sole ProprietorKATHERINE RIDDLE, AGACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in SOUTHGATE, Michigan. NPI 1336922244 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · SOUTHGATE, MI
Registration Details
- NPI Number
- 1336922244
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2023 (3.0124758617925 yrs)
- Last Updated
- Aug 4, 2025
- License
-
4704318916 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15750 NORTHLINE RDSOUTHGATE, MI, 481952378Browse MI providers · Browse ZIP 48195
- Phone
- 7343570505
- Fax
- 7343570506
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.