Healthcare Provider Details

I. General information

NPI: 1396464475
Provider Name (Legal Business Name): ASHLEA NICOLE RITTER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 E MAIN ST
NEOSHO MO
64850-1810
US

IV. Provider business mailing address

129 E MAIN ST
NEOSHO MO
64850-1810
US

V. Phone/Fax

Practice location:
  • Phone: 417-389-9081
  • Fax: 417-250-2665
Mailing address:
  • Phone: 417-553-9885
  • Fax: 417-250-2665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2022044579
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number221708
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: