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NPI Code Detail

MEDICARE: JODY EILEEN RITZ MSN, APRN, FNP-C

MEDICARE: JODY EILEEN RITZ MSN, APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner2020035048MO

General Provider Information

NPI Number : 1629653258
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY EILEEN RITZ MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 315 W 75TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5738
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 315 W 75TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5738
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2021
Last Update Date : 02/04/2022

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