Individual
BLAKE RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2406
(617) 268-1700
Mailing address
71 FULKERSON ST, APT 304, CAMBRIDGE, MA 02141-2048
(617) 515-4247
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2284030
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284030
MA
Other
Enumeration date
04/21/2014
Last updated
08/13/2014
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