Basic Information
Provider Information
NPI: 1740334192
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSIER
FirstName: RONDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN, FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 THREE SPRINGS BLVD
Address2:  
City: DURANGO
State: CO
PostalCode: 813018296
CountryCode: US
TelephoneNumber: 9702474311
FaxNumber: 9703757927
Practice Location
Address1: 1800 E 3RD AVE
Address2:  
City: DURANGO
State: CO
PostalCode: 813015016
CountryCode: US
TelephoneNumber: 9702474311
FaxNumber: 9703757927
Other Information
ProviderEnumerationDate: 01/23/2007
LastUpdateDate: 10/26/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X115344COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
C80806901COCOLORADO MEDICAREOTHER
0438552705CO MEDICAID


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