Provider Demographics
NPI:1093426082
Name:RYDER, ABBEY (CRNA)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:RYDER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:
Other - Last Name:STRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2142 N COVE BLVD
Mailing Address - Street 2:2ND FLOOR REN- SURGERY ADMIN OFFICE
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-291-4015
Mailing Address - Fax:
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:2ND FLOOR REN- SURGERY ADMIN OFFICE
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-291-4015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH146834367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program