Provider Demographics
NPI:1437374592
Name:RITCHIE, JANET H (NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:H
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:FRAZEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:11100 HEFNER POINTE DR
Mailing Address - Street 2:STE B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5049
Mailing Address - Country:US
Mailing Address - Phone:405-400-8188
Mailing Address - Fax:
Practice Address - Street 1:11200 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-5045
Practice Address - Country:US
Practice Address - Phone:405-936-1000
Practice Address - Fax:405-936-1001
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0050288174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200057620AMedicaid
OKP65319Medicare UPIN
OKOKA101068Medicare PIN