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General NPI Number Information
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NPI Number | 1629765813
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Entity Type | Individual
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Provider Name | KRISTEN RITENOUR PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2201 CHARLES ST STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3378
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Country | US
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Telephone | 540-845-6940
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Fax | 484-842-6053
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Provider Business Mailing Address
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Address Line | 2201 CHARLES ST STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3378
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Country | US
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Telephone | 540-845-6940
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Fax | 484-842-6053
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024186904
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License Number State | VA
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