Healthcare Provider Details

I. General information

NPI: 1558157073
Provider Name (Legal Business Name): GRACE ELIZABETH RITZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRACE ELIZABETH MCCARTHY RN

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELM ST N
FARGO ND
58102-2417
US

IV. Provider business mailing address

2101 ELM ST N
FARGO ND
58102-2417
US

V. Phone/Fax

Practice location:
  • Phone: 701-335-4380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number227474
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: