Provider Demographics
NPI:1073929162
Name:RAMSUMEER, SOY (FNP,DNP,MSN,RN,DM ED)
Entity Type:Individual
Prefix:DR
First Name:SOY
Middle Name:
Last Name:RAMSUMEER
Suffix:
Gender:F
Credentials:FNP,DNP,MSN,RN,DM ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 PEGASUS RANCH RD
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86429-7123
Mailing Address - Country:US
Mailing Address - Phone:509-430-9813
Mailing Address - Fax:
Practice Address - Street 1:2007 PEGASUS RANCH RD
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86429
Practice Address - Country:US
Practice Address - Phone:509-430-9813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN75400163WD0400X
CA810890163WD0400X
AZRN171878163WD0400X
AZAP11610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator