Provider Demographics
NPI:1043291271
Name:RAMSEY, BETH ANN (NP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 S SHIELDS ST
Mailing Address - Street 2:PMB I-143
Mailing Address - City:FT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1855
Mailing Address - Country:US
Mailing Address - Phone:970-674-0079
Mailing Address - Fax:970-419-4780
Practice Address - Street 1:4800 W 25TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3734
Practice Address - Country:US
Practice Address - Phone:970-674-0079
Practice Address - Fax:970-419-4780
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO165151363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODB5993OtherRR MEDICARE GROUP
CO80627544Medicaid
CO17981531Medicaid
COP00186653OtherRR MEDICARE
CO80627544Medicaid
CO435708Medicare ID - Type UnspecifiedMEDICARE GROUP
CO522568Medicare ID - Type UnspecifiedMEDICAE INDIVIDUAL