CRYSTAL RIDENOUR

LOGANSPORT, IN
NPI1346671997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71004557A)
Enumeration Date2013-12-09
Last Update Date2019-05-01
Business Address
CRYSTAL RIDENOUR MSN, PMHNP-BC
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
Mailing Address
CRYSTAL RIDENOUR MSN, PMHNP-BC
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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