Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 516534 | TX |
NPI | 1003853086 |
---|---|
Provider Name | Dr. Rita Ann Dello Stritto |
First Address | Sugar Land, TX 77478-4387 |
Second Address | Sugar Land, TX 77479-3573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 09/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S54147 | (02) | TX |