| Doctor Name: | MARY LOUISE RITTER |
| NPI Number: | 1073666905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N.P. |
| License Number: | 91935 |
| Business Practice Address: | 46 Daggett Dr Suite 3b West Springfield, MA - 010894638 |
| Business Phone Number: | 4137474544 |
| Business Fax Number: | |
| Mailing Address: | 46 Daggett Dr, Suite 3b WEST SPRINGFIELD |
| State: | MA |
| Postal Code: | 010894638 |
| Phone Number: | 4137474544 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 91935 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |