Individual provider · Type 1 NPI

Andrew John Deridder, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1144009713 Active

Practice location

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Other practice locations

  • 810 S 6th St, Monticello, IN 47960-8201 · (765) 448-8000

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X28267039A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71015716A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1144009713

Andrew John Deridder, NP's National Provider Identifier is 1144009713, issued on Sep 25, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 27, 2024.