Provider Demographics
NPI:1821710997
Name:RITTENHOUSE, REBECCA CLINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:CLINE
Last Name:RITTENHOUSE
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 1:812 POCAHONTAS HWY
Mailing Address - Street 2:
Mailing Address - City:MARLINTON
Mailing Address - State:WV
Mailing Address - Zip Code:24954-7086
Mailing Address - Country:US
Mailing Address - Phone:304-799-6314
Mailing Address - Fax:
Practice Address - Street 1:812 POCAHONTAS HWY
Practice Address - Street 2:
Practice Address - City:MARLINTON
Practice Address - State:WV
Practice Address - Zip Code:24954-7086
Practice Address - Country:US
Practice Address - Phone:304-799-6314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV90287163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health