Provider Demographics
NPI:1700604337
Name:BRITENRIKER, RAMONA
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:BRITENRIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1357
Mailing Address - Country:US
Mailing Address - Phone:330-419-6562
Mailing Address - Fax:
Practice Address - Street 1:528 MAIN ST
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1357
Practice Address - Country:US
Practice Address - Phone:330-419-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver