Provider Demographics
NPI:1083776462
Name:RITTENHOUSE, DANIEL E (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:RITTENHOUSE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8283 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7540
Mailing Address - Country:US
Mailing Address - Phone:614-440-3355
Mailing Address - Fax:
Practice Address - Street 1:8283 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7540
Practice Address - Country:US
Practice Address - Phone:614-440-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN290614367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2622219Medicaid