Individual
GRACE KRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8220
Mailing address
626 W 33RD ST, ANDERSON, IN 46013-4106
(260) 273-9105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28282499A
IN
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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