Healthcare Provider Details

I. General information

NPI: 1629765813
Provider Name (Legal Business Name): KRISTEN RITENOUR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CHARLES ST STE 105
FREDERICKSBURG VA
22401-3378
US

IV. Provider business mailing address

2201 CHARLES ST STE 105
FREDERICKSBURG VA
22401-3378
US

V. Phone/Fax

Practice location:
  • Phone: 540-845-6940
  • Fax: 484-842-6053
Mailing address:
  • Phone: 540-845-6940
  • Fax: 484-842-6053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024186904
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: