Chanon Ridore, NP

Individual Active
NPI 1225274632
Pediatric Nurse Practitioner Minneapolis, MN

NPI 1225274632 belongs to Chanon Ridore, NP, a pediatric nurse practitioner with a practice location in Minneapolis, MN. The NPI was issued on January 7, 2009, and the record was last updated in NPPES on August 6, 2020. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 2058 (MN)
Primary Care Nurse Practitioner 363LP2300X 2058 (MN)
Nurse Practitioner 363L00000X 2058 (MN)

Practice location

715 S 8th St
Minneapolis, MN 55404-1210
Phone: (612) 873-6963

Local context

Active NPPES records list 418 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 338 of them within 10 miles.

The same primary taxonomy is listed by 478 in Minnesota and 23,953 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Chanon Esha Ridore
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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