Provider Demographics
NPI:1194748780
Name:RITCHIE, CARYN WELZ (RN CS MS)
Entity type:Individual
Prefix:MR
First Name:CARYN
Middle Name:WELZ
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:RN CS MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 WHITES PATH # 23B
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1223
Mailing Address - Country:US
Mailing Address - Phone:508-760-2209
Mailing Address - Fax:508-394-5268
Practice Address - Street 1:23 WHITES PATH # B2
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1221
Practice Address - Country:US
Practice Address - Phone:508-760-2209
Practice Address - Fax:508-394-5268
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122471163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD104395OtherMAGELLEN
MAPN0738OtherBLUE CROSS/ BLUE SHIELD
MD104395OtherMAGELLEN