Healthcare Provider Details
I. General information
NPI: 1831463090
Provider Name (Legal Business Name): MEGHAN MARIE RITTER COMER F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/05/2012
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8155 PINEY RIVER AVE STE 101
LITTLETON CO
80125-8728
US
IV. Provider business mailing address
13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US
V. Phone/Fax
- Phone: 303-326-3390
- Fax: 720-516-0237
- Phone: 480-301-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP4004 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN.0994169-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: