Crystal Ridenour, MSN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Logansport, IN. Individual provider (NPI-1).
NPI number1346671997
StatusActive
Last updated in NPPESMay 1, 2019
Details
- NPI
- 1346671997
- Entity type
- Individual (NPI-1)
- Name
- Crystal Ridenour
- Credential
- MSN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2013
- Last updated
- May 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 71004557A | IN | Yes |
Practice location
1015 Michigan AveLogansport, IN 46947-1526
Phone 574-722-5151 · Fax 574-739-1414
Mailing address
1015 Michigan AveLogansport, IN 46947-1526
Phone 574-722-5151 · Fax 574-739-1414
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