Provider Demographics
NPI:1013367291
Name:SENATOR, RITA ANNE (RN, MSN)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:ANNE
Last Name:SENATOR
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 BIG ROCK LOOP
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2852
Mailing Address - Country:US
Mailing Address - Phone:505-500-6575
Mailing Address - Fax:
Practice Address - Street 1:1265 BIG ROCK LOOP
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-2852
Practice Address - Country:US
Practice Address - Phone:505-500-6575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-80418163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management