Basic Information
Provider Information | |||||||||
NPI: | 1194830190 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | RITCHIE | ||||||||
FirstName: | SYLVIA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | RN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2312 FAIRVIEW | ||||||||
Address2: |   | ||||||||
City: | PINEVILLE | ||||||||
State: | LA | ||||||||
PostalCode: | 71360 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3186410990 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | MEADOW LANE UNIT 6 CENTRAL STATE HOSP. | ||||||||
Address2: |   | ||||||||
City: | PINEVILLE | ||||||||
State: | LA | ||||||||
PostalCode: | 71360 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3184846400 | ||||||||
FaxNumber: | 3184875703 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 08/20/2006 | ||||||||
LastUpdateDate: | 07/08/2007 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA0400X | RN057880 | LA | Y |   | Nursing Service Providers | Registered Nurse | Addiction (Substance Use Disorder) |
No ID Information.