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NPI Code Detail

MEDICARE: SUSAN PARRY RITTER RN, APNP-BC

MEDICARE: SUSAN PARRY RITTER RN, APNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner81970-030WI
2363LG0600XGerontology Nurse PractitionerR 95529-4MN
3363L00000XNurse PractitionerR 95529-4MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508898677
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PARRY RITTER RN, APNP-BC
Provider Business Mailing Address
First Line : 8202 W 132ND ST
Second Line :
City : SAVAGE
State : MN
Zip : 55378-2553
Country : US
Telephone Number : 952-220-0250
Fax Number :
Provider Business Practice Location Address
First Line : 2450 26TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1245
Country : US
Telephone Number : 612-728-2455
Fax Number : 612-728-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 11/15/2013

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