Provider Demographics
NPI:1134178858
Name:RITCHIE, AMY M (ARNP, CPNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:ARNP, CPNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:HOGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, CPNP
Mailing Address - Street 1:1122 NE 13TH ST
Mailing Address - Street 2:ORI236
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:940 NE 13TH ST
Practice Address - Street 2:1B1210
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5008
Practice Address - Country:US
Practice Address - Phone:405-271-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0071592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner