Provider Demographics
NPI:1194945394
Name:RITTER, PAULETTE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:RITTER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 S CHURCH RD
Mailing Address - Street 2:APT 87
Mailing Address - City:MAPLE SHADE
Mailing Address - State:NJ
Mailing Address - Zip Code:08052-3001
Mailing Address - Country:US
Mailing Address - Phone:856-234-6816
Mailing Address - Fax:
Practice Address - Street 1:RUTGERS UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:326 PENN STREET
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-1410
Practice Address - Country:US
Practice Address - Phone:856-225-6005
Practice Address - Fax:856-225-6186
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN04803100363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health