Individual
MRS. HEIDI GISELLE RITCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1265 S UTICA AVE, SUITE #300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
1265 S UTICA AVE, SUITE #300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0069577
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090830A
—
OK
01
—
OK401018
MEDICARE PTAN
OK
01
—
P00642517
MEDICARE RAILROAD
OK
Enumeration date
06/03/2006
Last updated
12/18/2008
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