Healthcare Provider Details

I. General information

NPI: 1073335188
Provider Name (Legal Business Name): LAUREN ANNE RITTENBACH DNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 PROFESSIONAL VIEW DR BLDG 3002ND
FREEHOLD NJ
07728-7904
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 732-431-1616
  • Fax: 732-866-7962
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number26NJ15169100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00086801
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00086800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: