Provider Demographics
NPI:1255821062
Name:RITCHEY, STEPHANIE LEWIS (FNP-BC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LEWIS
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:551 MEADOW ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3615
Practice Address - Country:US
Practice Address - Phone:603-761-3660
Practice Address - Fax:603-761-7791
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21636A261QU0200X, 363L00000X
NH051672-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner