Provider Demographics
NPI:1033428271
Name:RAMTHUN, GINA E (APNP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:E
Last Name:RAMTHUN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:E
Other - Last Name:SUCHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:1901 WESTWOOD CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-2892
Mailing Address - Country:US
Mailing Address - Phone:715-355-9424
Mailing Address - Fax:
Practice Address - Street 1:1901 WESTWOOD CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401
Practice Address - Country:US
Practice Address - Phone:715-355-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4192363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI140081OtherRN LIC
WI4192OtherAPNP LIC