Provider Demographics
NPI:1356638118
Name:RITCHIE, TERA C (MS, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:TERA
Middle Name:C
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:MS, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 WILSKY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5837
Mailing Address - Country:US
Mailing Address - Phone:813-961-2222
Mailing Address - Fax:
Practice Address - Street 1:10111 WILSKY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5837
Practice Address - Country:US
Practice Address - Phone:813-961-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3279962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0611112OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS