Individual provider · Type 1 NPI

Keith Priddle, FNP-C

Nurse Practitioner · Greenwood, IN

NPI number 1235676099 Active

Practice location

747 E County Line Rd Ste B
Greenwood, IN 46143-1082

Fax (317) 789-0600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28205187A (IN)
Nurse Practitioner Primary 363L00000X71007578A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1235676099

Keith Priddle, FNP-C's National Provider Identifier is 1235676099, issued on Jan 31, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenwood, IN. The record was last updated on Mar 31, 2021.