Basic Information
Provider Information
NPI: 1790904340
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: NANCY
MiddleName: BARBER
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2601 MORRILL RD
Address2:  
City: RIVERBANK
State: CA
PostalCode: 953672798
CountryCode: US
TelephoneNumber: 2093248049
FaxNumber:  
Practice Location
Address1: 1441 FLORIDA AVE
Address2:  
City: MODESTO
State: CA
PostalCode: 953504405
CountryCode: US
TelephoneNumber: 2095763880
FaxNumber: 2095763884
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X613757CAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home