Provider Demographics
NPI:1376692624
Name:RITENOUR-BAILEY, CHARLYNN LEE (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHARLYNN
Middle Name:LEE
Last Name:RITENOUR-BAILEY
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:430 PENNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4331
Mailing Address - Country:US
Mailing Address - Phone:412-731-3192
Mailing Address - Fax:412-731-8088
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE 410
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-361-3132
Practice Address - Fax:412-361-1927
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP004447V363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology