Doctor Name: | LOUISE C RITZ |
NPI Number: | 1033116108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024164018 |
Business Practice Address: | 11484 Washington Plz W Suite 300 Reston, VA - 201904344 |
Business Phone Number: | 7036892180 |
Business Fax Number: | 7034813853 |
Mailing Address: | 13550 Smallwood Ln, CHANTILLY |
State: | VA |
Postal Code: | 201512519 |
Phone Number: | 7033783768 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024164018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |