Provider Demographics
NPI:1053852640
Name:RITCHIE, SCHUYLER (APRN)
Entity type:Individual
Prefix:
First Name:SCHUYLER
Middle Name:
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 N. TOWN CENTER DR.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0381
Mailing Address - Country:US
Mailing Address - Phone:702-202-2060
Mailing Address - Fax:702-605-2892
Practice Address - Street 1:1180 N. TOWN CENTER DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0381
Practice Address - Country:US
Practice Address - Phone:702-202-2060
Practice Address - Fax:702-605-2892
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV842142363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV145600645Medicaid