Provider Demographics
NPI:1639677032
Name:RICH, RITA ANN (PSYD, RN)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:ANN
Last Name:RICH
Suffix:
Gender:F
Credentials:PSYD, RN
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:ANN
Other - Last Name:RICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, RN
Mailing Address - Street 1:3137 DWIGHT RD STE 600
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6472
Mailing Address - Country:US
Mailing Address - Phone:916-622-2115
Mailing Address - Fax:916-422-1321
Practice Address - Street 1:3137 DWIGHT RD STE 600
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6472
Practice Address - Country:US
Practice Address - Phone:916-622-2115
Practice Address - Fax:916-422-1321
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA365708163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health