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Individual

DENISE RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
407 N MEADOW ST, OTTERBEIN, IN 47970-8592
(765) 448-8000
(765) 583-2444
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013040A
IN
363LG0600X
Gerontology Nurse Practitioner
71013040A
IN

Other

Enumeration date
09/27/2022
Last updated
01/29/2025
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