Look up the most recent NPI and PECOS records

Joan Katherine Riordan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Clark Health Clinic, Bldg 5-4257 Bastogne Extension, Fort Bragg, NC 28310-0001

PECOS Enrollment

This provider is enrolled in PECOS as JOAN RIORDAN.

Based on the most recent information from CMS, provider Joan Katherine Riordan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1457376667
Provider Type
Individual
Full Name
Riordan, Joan Katherine
Title
Ms.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/12/2006
Last Updated
7/1/2008

Contact Information

Practice Location

Clark Health Clinic, Bldg 5-4257 Bastogne Extension, Fort Bragg, NC 28310-0001

(910) 907-2575

Unlisted Fax

Mailing Location

Clark Health Clinic, Bldg 5-4257 Bastogne Extension, Fort Bragg, NC 28310-0001

(910) 907-2575

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 211288 Massachusetts

Joan Katherine Riordan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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