Provider Demographics
NPI:1760954440
Name:RITVALSKI, ANITREA VICTORIA (RN, BSN MBA)
Entity Type:Individual
Prefix:
First Name:ANITREA
Middle Name:VICTORIA
Last Name:RITVALSKI
Suffix:
Gender:F
Credentials:RN, BSN MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 HUCKLEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4794
Mailing Address - Country:US
Mailing Address - Phone:972-741-3012
Mailing Address - Fax:
Practice Address - Street 1:1255 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7299
Practice Address - Country:US
Practice Address - Phone:972-673-0404
Practice Address - Fax:469-626-9670
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676415163WC0200X, 163WC0400X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WC0400XNursing Service ProvidersRegistered NurseCase Management