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NPI Code Detail

MEDICARE: EMILY RITZERT PA-C

MEDICARE: EMILY RITZERT PA-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
1363A00000XPhysician Assistant10004662AIN

General Provider Information

NPI Number : 1952129553
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RITZERT PA-C
Provider Business Mailing Address
First Line : 10021 DUPONT CIRCLE CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1604
Country : US
Telephone Number : 260-426-8117
Fax Number :
Provider Business Practice Location Address
First Line : 10021 DUPONT CIRCLE CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1604
Country : US
Telephone Number : 260-426-8117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 06/04/2026

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Directions to “ EMILY RITZERT PA-C” Practice Location

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