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1750101002 NPI number — ARACELIS RITTENBURG BSN RN

NPI Number: 1750101002
Health Care Provider/Practitioner: ARACELIS RITTENBURG BSN RN

Information about “1750101002” NPI (ARACELIS RITTENBURG BSN RN) exists in 1750101002 in HTML format HTML  |  1750101002 in plain Text format TXT  |  1750101002 in PDF (Portable Document Format) PDF  |  1750101002 in an XML format XML  formats.

NPI Number : 1750101002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750101002",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RITTENBURG",
    "FirstName": "ARACELIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSN RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "425 N PRINCE ST STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANCASTER",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17603-4658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-874-7618",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "425 N PRINCE ST STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17603-4658",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-874-7618",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/11/2024",
    "LastUpdateDate": "10/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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