Provider Demographics
NPI:1114533361
Name:RAMER, KELLIE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:KELLIE
Middle Name:MARIE
Last Name:RAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 TONY MARCHIO DRIVE
Mailing Address - Street 2:ATTN: KELLIE RAMER
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734
Mailing Address - Country:US
Mailing Address - Phone:302-378-5026
Mailing Address - Fax:
Practice Address - Street 1:550 TONY MARCHIO DRIVE
Practice Address - Street 2:ATTN: KELLIE RAMER
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734
Practice Address - Country:US
Practice Address - Phone:302-378-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0043003163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool