Provider Demographics
NPI:1952690240
Name:RITCHIE, MICHELLE M (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:M
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 YORK ST
Mailing Address - Street 2:C/O NEW ENGLAND SINAI HOSPITAL
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1829
Mailing Address - Country:US
Mailing Address - Phone:781-340-0600
Mailing Address - Fax:
Practice Address - Street 1:150 YORK ST
Practice Address - Street 2:C/O NEW ENGLAND SINAI HOSPITAL
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1829
Practice Address - Country:US
Practice Address - Phone:781-340-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA965363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical