Lookup NPI Numbers from the NPI Registry
NPI Profile for GREGORY RIDENOUR in FORT WAYNE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner |
| NPI Number | 1447708979 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/13/2016 | |
| Last updated | 04/25/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GREGORY RIDENOUR
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GREGORY RIDENOUR