Individual
NIKIA DELORES RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
610 E DR MARTIN LUTHER KING JR DR, MAXTON, NC 28364-1800
(910) 844-5253
(910) 844-3290
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024177
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114485505
BCBSNC
NC
05
—
1114485505
—
NC
Enumeration date
03/05/2019
Last updated
09/28/2020
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