Provider Demographics
NPI:1992760615
Name:RITCHIE, RHONDA L (RN, BS, SC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:L
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:RN, BS, SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3049 BOSSHARD DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5861
Mailing Address - Country:US
Mailing Address - Phone:608-276-0144
Mailing Address - Fax:608-276-6408
Practice Address - Street 1:3049 BOSSHARD DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-5861
Practice Address - Country:US
Practice Address - Phone:608-276-0144
Practice Address - Fax:608-276-6408
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI79808-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39940400Medicaid