Healthcare Provider Details

I. General information

NPI: 1194945394
Provider Name (Legal Business Name): PAULETTE RITTER NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RUTGERS UNIVERSITY HEALTH SERVICES 326 PENN STREET
CAMDEN NJ
08102-1410
US

IV. Provider business mailing address

25 S CHURCH RD APT 87
MAPLE SHADE NJ
08052-3001
US

V. Phone/Fax

Practice location:
  • Phone: 856-225-6005
  • Fax: 856-225-6186
Mailing address:
  • Phone: 856-234-6816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NN04803100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: