MEDICARE: KAY ELIZABETH RITZDORF APRN

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	363LP2300X	Primary Care Nurse Practitioner	112578	NE

General Provider Information

NPI Number	:	1083192462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAY ELIZABETH RITZDORF APRN

Provider Business Mailing Address
First Line	:	PO BOX 1800
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68602-1800
Country	:	US
Telephone Number	:	402-564-7118
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 38TH ST STE 133
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-562-4700
Fax Number	:	402-562-4701

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	12/08/2025

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