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Individual
MRS. TERESA L RIDER
Active
Individual
MRS. TERESA L RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000757297
ANTHEM (BCBS)
—
05
—
201057160
—
IN
Enumeration date
02/29/2012
Last updated
04/28/2026
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