Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01075060A | IN |
N | 111NI0900X | Internist | 01075060A | IN |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 01075060A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | 01075060A | IN |
NPI | 1245506401 |
---|---|
Provider Name | Dr. Elizabeth Marie Riddell |
First Address | Indianapolis, IN 46260-1316 |
Second Address | Lafayette, IN 47905-4939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 08/04/2019 |