Provider Demographics
NPI:1295398741
Name:RITTER, TAMMY LEA (RN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LEA
Last Name:RITTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 FAIRVIEW DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701
Mailing Address - Country:US
Mailing Address - Phone:775-684-5031
Mailing Address - Fax:775-687-1181
Practice Address - Street 1:727 FAIRVIEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701
Practice Address - Country:US
Practice Address - Phone:775-684-5031
Practice Address - Fax:775-687-1181
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN41132163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health