Healthcare Provider Details

I. General information

NPI: 1881661981
Provider Name (Legal Business Name): CATHRYN L. RITCHIE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 RIBAUT ROAD
BEAUFORT SC
29902
US

IV. Provider business mailing address

PO BOX 1927
COLUMBIA SC
29202
US

V. Phone/Fax

Practice location:
  • Phone: 803-454-2600
  • Fax: 803-765-1732
Mailing address:
  • Phone: 803-765-1838
  • Fax: 803-765-1732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1475
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: