Provider Demographics
NPI:1154516607
Name:RIEBE, GINGER ELIZABETH (NPP)
Entity type:Individual
Prefix:MISS
First Name:GINGER
Middle Name:ELIZABETH
Last Name:RIEBE
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:WOODS ROAD, GRASSLANDS RESERVATION
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-0010
Mailing Address - Country:US
Mailing Address - Phone:914-231-1356
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF CORRECTIONS- WOODS ROAD
Practice Address - Street 2:GRASSLANDS RESERVATION
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-0010
Practice Address - Country:US
Practice Address - Phone:914-231-1356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400588363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health