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NPI Code Detail

MEDICARE: DR. ANGELA KAY RITTEN DNP, APRN, FNP-BC

MEDICARE: DR. ANGELA KAY RITTEN DNP, APRN, FNP-BC
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 Practitioner1566872FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10275881OTHERANCC FNP-BC CERTIFICATION NUMBER

General Provider Information

NPI Number : 1982802633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA KAY RITTEN DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 415
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32170-0415
Country : US
Telephone Number : 407-832-6972
Fax Number : 386-957-9726
Provider Business Practice Location Address
First Line : 239 N RIDGEWOOD AVE
Second Line :
City : EDGEWATER
State : FL
Zip : 32132-1734
Country : US
Telephone Number : 386-427-4868
Fax Number : 386-481-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2007
Last Update Date : 02/20/2023

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