Basic Information
| Provider Information | |||||||||
| NPI: | 1669449609 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIDING | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | COHN-S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8855 TROTTENHAM CT | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809207220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192726722 | ||||||||
| FaxNumber: | 7195267181 | ||||||||
| Practice Location | |||||||||
| Address1: | 1650 COCHRANE CIRCLE | ||||||||
| Address2: | FORT CARSON | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809134604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195163251 | ||||||||
| FaxNumber: | 7195267181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WX0106X | 46649 | CO | Y | Nursing Service Providers | Registered Nurse | Occupational Health |
No ID Information.