Individual
LOUISE C RITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12524 SUNRISE VALLEY DR, RESTON, VA 20191-3438
(703) 689-2180
(703) 481-3853
Mailing address
13550 SMALLWOOD LN, CHANTILLY, VA 20151-2519
(703) 587-5983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007789343
—
VA
Enumeration date
07/05/2005
Last updated
07/31/2019
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