Provider Demographics
NPI:1578838207
Name:RITTER, JULIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
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 1:1317 CROES AVE
Mailing Address - Street 2:1ST. FL.
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-1709
Mailing Address - Country:US
Mailing Address - Phone:917-549-0486
Mailing Address - Fax:
Practice Address - Street 1:984 FAILE ST
Practice Address - Street 2:4TH FL.
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3703
Practice Address - Country:US
Practice Address - Phone:718-589-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY448367163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool