Andrew J. Deridder NP
Gerontology Nurse Practitioner in Indianapolis, IN(View on Map)
Full Name
Andrew John Deridder NP
NPI Number
1144009713
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/25/2023
Specialties
(Taxonomies)Code
363LG0600X
163WE0003X
Primary Taxonomy
Yes
No
Licenses
State
Indiana
Indiana
License Number
71015716A
28267039A
Contact
Information
Purpose
Mailing
Location
Address
8111 S EMERSON AVE
8111 S EMERSON AVE
City
Indianapolis
Indianapolis
State
IN
IN
Postal Code
46237-8601
46237-8601
Country
US
US
Telephone Number
N/A
(317) 528-5000
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
aderidder@direct.iuhealth.org
Endpoint Description
Unknown
Use
Direct
Content Type
Unknown
Affiliation
N
Endpoint Location
810 S 6th StMonticello, IN479608201US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/27/2024
Provider Address
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