Healthcare Provider Details

I. General information

NPI: 1225442270
Provider Name (Legal Business Name): BARBARA RITTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 06/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6643 SHEPLEY DR
SAINT LOUIS MO
63105-2354
US

IV. Provider business mailing address

ONE BROOKINGS DRIVE CAMPUS BOX 1201 WASHINGTON UNIVERSITY STUDENT HEALTH SERVICES
SAINT LOUIS MO
63130-4899
US

V. Phone/Fax

Practice location:
  • Phone: 314-935-6666
  • Fax: 314-935-8515
Mailing address:
  • Phone: 314-935-6666
  • Fax: 314-935-8515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number111890
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: