Provider Demographics
NPI:1265618755
Name:RITTENHOUSE, VICKI LYNN (BS RN)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:LYNN
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:BS RN
Other - Prefix:MISS
Other - First Name:VICKI
Other - Middle Name:LYNN
Other - Last Name:TOUCHTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1032 MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-8132
Mailing Address - Country:US
Mailing Address - Phone:817-201-6378
Mailing Address - Fax:817-426-2924
Practice Address - Street 1:1032 MORGAN DR
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8132
Practice Address - Country:US
Practice Address - Phone:817-201-6378
Practice Address - Fax:817-426-2924
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647642163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice