Provider Demographics
NPI:1083233381
Name:RITCHEY, GELILA GETACHEW (CRNP)
Entity Type:Individual
Prefix:
First Name:GELILA
Middle Name:GETACHEW
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNTAIN VIEW PRIMARY CARE 1602 FORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-759-4544
Mailing Address - Fax:301-723-4446
Practice Address - Street 1:MOUNTAIN VIEW PRIMARY CARE 1602 FORD AVENUE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502
Practice Address - Country:US
Practice Address - Phone:301-759-4544
Practice Address - Fax:301-723-4446
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229503163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse