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NPI Code Detail

MEDICARE: ANITREA VICTORIA RITVALSKI RN, BSN MBA

MEDICARE: ANITREA VICTORIA RITVALSKI RN, BSN MBA
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
1163WC0200XCritical Care Medicine Registered Nurse676415TX
2163WC0400XCase Management Registered Nurse676415TX
3163WH0200XHome Health Registered Nurse676415TX

General Provider Information

NPI Number : 1760954440
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITREA VICTORIA RITVALSKI RN, BSN MBA
Provider Business Mailing Address
First Line : 7133 HUCKLEBERRY DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4794
Country : US
Telephone Number : 972-741-3012
Fax Number :
Provider Business Practice Location Address
First Line : 1255 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7299
Country : US
Telephone Number : 972-673-0404
Fax Number : 469-626-9670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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