Ventura, Rita R

Ventura, Rita R is an individual health care provider with primary practice located at 6809 122Nd Ave , Kenosha WI 53142-7335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ventura, Rita R can be contacted via phone (262) 653-2266.

Contact Information

Primary practice address
6809 122Nd Ave Kenosha WI 53142-7335
Phone: (262) 653-2266
Fax: (262) 653-2277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2001-033 Wisconsin

Profile Details

NPI number 1750462602
LBN Legal business name Ventura, Rita R
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750462602 NPPES
Wisconsin MEDICAID 43968300

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