Individual provider · Type 1 NPI

Elgerene Monique Ridderheim, NP

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1750871687 Active

Practice location

6279 E State Blvd
Fort Wayne, IN 46815-7641

Call (260) 492-0951 Map

Mailing address

6729 East State Blvd
Fort Wayne, IN 46815

Other practice locations

  • 9821 Lima Rd Ste 103, Fort Wayne, IN 46818-9281 · (260) 234-5400
  • 11050 Parkview Circle Dr, Fort Wayne, IN 46845 · (833) 724-8326

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71008116A (IN)
Family Nurse Practitioner Primary 363LF0000X71008116A (IN)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1750871687

Elgerene Monique Ridderheim, NP's National Provider Identifier is 1750871687, issued on May 16, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 6, 2024.