Individual provider · Type 1 NPI

Roberta R. Gridley, AGACNP-BC

Acute Care Nurse Practitioner · Indianapolis, IN

NPI number 1750587457 Active

Practice location

8060 Knue Rd Ste 110
Indianapolis, IN 46250-1938

Mailing address

2212 E County Road 1150 N
Batesville, IN 47006-8744

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X2024085294 (IN)
Licensed Practical Nurse 164W00000X27056431A (IN)
Registered Nurse 163W00000X28188662A (IN)
Registered Nurse 163W00000XRN.491585 (OH)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0037844 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1750587457

Roberta R. Gridley, AGACNP-BC's National Provider Identifier is 1750587457, issued on Jun 21, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 23, 2026.