Healthcare Provider Details

I. General information

NPI: 1003977133
Provider Name (Legal Business Name): ANDREA MARTIN RITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO AE
09180
US

IV. Provider business mailing address

PSC 2 BOX 12006
APO AE
0912
US

V. Phone/Fax

Practice location:
  • Phone: 496371867704
  • Fax: 496371867250
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00152572
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberLP00053387
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: