Individual
MACENSIE LEIGH RITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3023 NOTTINGHAM DR, SHREVEPORT, LA 71115-9441
(318) 564-3393
Mailing address
10151 KELLI LEANNE CIR, KEITHVILLE, LA 71047-7579
(318) 540-4842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
R-11388
LA
163W00000X
Registered Nurse
Primary
229361
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229361
LOUISIANA STATE BOARD OF NURSING
LA
01
—
RBT-22-238927
BACB
—
Enumeration date
10/13/2022
Last updated
05/05/2025
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