Provider Demographics
NPI:1134196314
Name:RITTER, BRANDI ALYSSA (PA)
Entity type:Individual
Prefix:MISS
First Name:BRANDI
Middle Name:ALYSSA
Last Name:RITTER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:330 VISTA ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-4151
Mailing Address - Country:US
Mailing Address - Phone:301-393-0808
Mailing Address - Fax:
Practice Address - Street 1:MALCOLM GROW MEDICAL CENTER
Practice Address - Street 2:1050 WEST PERIMETER ROAD
Practice Address - City:ANDREWS AFB
Practice Address - State:MD
Practice Address - Zip Code:20762-6600
Practice Address - Country:US
Practice Address - Phone:240-857-4530
Practice Address - Fax:240-857-8952
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant