Individual
MEREDITH A CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4800
(270) 527-4910
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3013300
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3013300
APRN LICENSE
KY
Enumeration date
04/13/2019
Last updated
07/07/2020
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