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Gregory Ridenour
Neonatal Nurse Practitioner in Fort Wayne, Indiana
NPI 1447708979

Gregory Ridenour is a Neonatal Nurse Practitioner based in Fort Wayne, IN and is specialized in Neonatal. Gregory Ridenour practices in Fort Wayne, IN. The NPI Number for Gregory Ridenour is 1447708979 and holds a License No. 28194228A (Indiana).

The current practice location address for Gregory Ridenour is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-435-7001.

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447708979
Provider Name
Gregory Ridenour
Credential
Provider Entity Type
Individual
Gender
Male
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
Phone Number
260-435-7001
Fax Number
Provider Enumeration Date
09/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0265386 05 OH
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-435-7001
Fax Number
person
Provider Business Mailing Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-435-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71007790A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
RN.429014 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
363LN0005X
License No.
28194228A (Indiana)
Definition
Definition to come...
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