Healthcare Provider Details

I. General information

NPI: 1922924018
Provider Name (Legal Business Name): ALYSON RITCHIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 QUANTRELLE AVE NE STE 200
OTSEGO MN
55330-1041
US

IV. Provider business mailing address

9000 QUANTRELLE AVE NE STE 200
OTSEGO MN
55330-1041
US

V. Phone/Fax

Practice location:
  • Phone: 763-633-3800
  • Fax: 763-633-3808
Mailing address:
  • Phone: 763-633-3800
  • Fax: 763-633-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1887219
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: