MARIAH RIDLEY NPI 1275351348

NPI Information

  • NPI: 1275351348
  • Provider Name: MARIAH RIDLEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 7453 AVALON TRAIL RD
    INDIANAPOLIS, IN
    ZIP 46250
  • Phone: (317) 572-7065

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NPI Details

Mariah Ridley is a family nurse practitioner in Indianapolis, IN. Mariah Ridley NPI is 1275351348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7453 AVALON TRAIL RD
INDIANAPOLIS, IN
ZIP 46250-817
Phone: (317) 572-7065

The enumeration date for this NPI number is 9/28/2024 and was last updated on 9/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28245518AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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