Provider Demographics
NPI:1013222918
Name:NAZARIO, RAMONA VERNITA
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:VERNITA
Last Name:NAZARIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 BRYAN DR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6912
Mailing Address - Country:US
Mailing Address - Phone:580-234-2501
Mailing Address - Fax:580-213-3133
Practice Address - Street 1:706 BRYAN DR
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-6912
Practice Address - Country:US
Practice Address - Phone:580-234-2501
Practice Address - Fax:580-213-3133
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional