Individual
DEANNA RAE RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
Mailing address
2523 W MIAMI TRL, MARION, IN 46952-9670
(765) 618-5041
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71011763A
IN
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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