Provider Demographics
NPI:1356669857
Name:RITTER, MARIE NORMA (RN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:NORMA
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 1:936 FENNO RD
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:NY
Mailing Address - Zip Code:14837-8849
Mailing Address - Country:US
Mailing Address - Phone:607-243-8008
Mailing Address - Fax:
Practice Address - Street 1:936 FENNO RD
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:NY
Practice Address - Zip Code:14837-8849
Practice Address - Country:US
Practice Address - Phone:607-243-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY361230-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse