Basic Information
| Provider Information | |||||||||
| NPI: | 1588279871 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIDLEY-DAVIS | ||||||||
| FirstName: | CABRINA | ||||||||
| MiddleName: | R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8050 W. JUDGE PEREZ DRIVE SUITE 2300 | ||||||||
| Address2: | |||||||||
| City: | CHALMETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048269655 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8050 W JUDGE PEREZ DR STE 2300 | ||||||||
| Address2: | |||||||||
| City: | CHALMETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700431738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9852109119 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2020 | ||||||||
| LastUpdateDate: | 02/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN129230 | LA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 216215 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.