Provider Demographics
NPI:1518542240
Name:RITZE NEU, BONITA ANN
Entity type:Individual
Prefix:
First Name:BONITA
Middle Name:ANN
Last Name:RITZE NEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NITA
Other - Middle Name:
Other - Last Name:NEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 OBSERVATORY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2100
Mailing Address - Country:US
Mailing Address - Phone:513-785-8061
Mailing Address - Fax:
Practice Address - Street 1:2700 OBSERVATORY AVE APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2100
Practice Address - Country:US
Practice Address - Phone:513-785-8061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant