Provider Demographics
NPI:1154462133
Name:RITTER, SARA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:RITTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4825 SE MANATEE TER
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6997
Mailing Address - Country:US
Mailing Address - Phone:772-288-6974
Mailing Address - Fax:772-288-6974
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-219-0044
Practice Address - Fax:772-219-0709
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL854562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBY7167Medicare ID - Type Unspecified
FLS87534Medicare UPIN