Provider Demographics
NPI:1083986830
Name:RITTER, NANCY LOUISE (LPN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:RITTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 COUNTY ROAD 18
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-9755
Mailing Address - Country:US
Mailing Address - Phone:937-599-1954
Mailing Address - Fax:937-599-1954
Practice Address - Street 1:2740 COUNTY ROAD 18
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9755
Practice Address - Country:US
Practice Address - Phone:937-599-1954
Practice Address - Fax:937-599-1954
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.081125164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse