Individual
TYLER ELIZABETH CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4010 ROLAND RD, INDIANAPOLIS, IN 46228-3233
(317) 340-5736
Mailing address
4010 ROLAND RD, INDIANAPOLIS, IN 46228-3233
(317) 340-5736
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
28184372A
IN
163WH0200X
Home Health Registered Nurse
Primary
28184372A
IN
163WH1000X
Hospice Registered Nurse
28184372A
IN
163WI0500X
Infusion Therapy Registered Nurse
28184372A
IN
163WW0000X
Wound Care Registered Nurse
28184372A
IN
163WX1500X
Ostomy Care Registered Nurse
28184372A
IN
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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