Individual
MIRADA RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 244-1280
Mailing address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 244-1280
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.032116
IL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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