Basic Information
Provider Information
NPI: 1144794827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 BRIDGES AVE E STE A
Address2:  
City: WYNNE
State: AR
PostalCode: 723962343
CountryCode: US
TelephoneNumber: 8702088362
FaxNumber: 8702088384
Practice Location
Address1: 750 BRIDGES AVE E STE A
Address2:  
City: WYNNE
State: AR
PostalCode: 723962343
CountryCode: US
TelephoneNumber: 8702088362
FaxNumber: 8702088384
Other Information
ProviderEnumerationDate: 01/16/2019
LastUpdateDate: 01/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR099467ARY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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