MEDICARE: ASHLEY CHANTAL RITOSSA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1043068117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CHANTAL RITOSSA MD

Provider Business Mailing Address
First Line	:	106 HANOVER SQ
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-1013
Country	:	US
Telephone Number	:	210-416-7110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 24TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-225-3700
Fax Number	:	615-873-8121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2024
Last Update Date	:	02/05/2026

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