Provider Demographics
NPI:1609218775
Name:RITCHIE, CINDA KAY (GNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDA
Middle Name:KAY
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4101 SOUTH 4TH STREET TRAFFICWAY
Mailing Address - Street 2:BUILDING 122, 1ST FLOOR SOUTH, MAIL STOP L-11G1
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048
Mailing Address - Country:US
Mailing Address - Phone:913-682-2000
Mailing Address - Fax:913-946-1561
Practice Address - Street 1:4101 SOUTH 4TH STREET TRAFFICWAY
Practice Address - Street 2:BUILDING 122, 1ST FLOOR SOUTH, MAIL STOP L-11G1
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:913-946-1561
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111416363LG0600X
IAJ132656363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology