Provider Demographics
NPI:1205995743
Name:RITSEMA, ALMA C (NP)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:C
Last Name:RITSEMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:9515 SOQUEL DR STE 207
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4137
Mailing Address - Country:US
Mailing Address - Phone:831-612-6283
Mailing Address - Fax:877-677-2791
Practice Address - Street 1:9515 SOQUEL DR STE 207
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4137
Practice Address - Country:US
Practice Address - Phone:831-612-6283
Practice Address - Fax:877-677-2791
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2024-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP16769363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPF16769OtherSTATE OF CALIFORNIA
CA16769OtherNURSE PRACTICIONER LIC
CA621285OtherRN LICENSE
CA67264OtherPUBLIC HEALTH NURSE LIC
CA621285OtherRN LICENSE