Healthcare Provider Details

I. General information

NPI: 1164855466
Provider Name (Legal Business Name): HEIDI M RITTER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2013
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 HIGH WATCH RD
EFFINGHAM NH
03882-8336
US

IV. Provider business mailing address

244 HIGH WATCH RD STE 2
EFFINGHAM NH
03882-8336
US

V. Phone/Fax

Practice location:
  • Phone: 855-620-1440
  • Fax:
Mailing address:
  • Phone: 866-652-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP079922-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: