Dr CRYSTAL RIDENOUR is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC
401 E 8TH ST
A
ROCHESTER
IN
469751499
Tel: 5742238565
| Npi | 1346671997 |
| Pac Id | 8123245479 |
| Professional Enrollment Id | I20140808001832 |
| Last Name | RIDENOUR |
| First Name | CRYSTAL |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER INC |
| Group Practice Pac Id | 2163334277 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 401 E 8TH ST |
| Line 2 Street Address | A |
| Marker Of Address Line 2 Suppression | |
| City | ROCHESTER |
| State | IN |
| Zip Code | 469751499 |
| Phone Number | 5742238565 |
| Hospital Affiliation Ccn 1 | 151313 |
| Hospital Affiliation Lbn 1 | WOODLAWN HOSPITAL |
| Hospital Affiliation Ccn 2 | 151305 |
| Hospital Affiliation Lbn 2 | PULASKI MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 150076 |
| Hospital Affiliation Lbn 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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