Provider Demographics
NPI:1285004812
Name:RITTENHOUSE, CHRISTY (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 N TRUMPETER DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-8969
Mailing Address - Country:US
Mailing Address - Phone:360-848-0258
Mailing Address - Fax:
Practice Address - Street 1:124 E LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2914
Practice Address - Country:US
Practice Address - Phone:360-428-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60240072163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse