Provider Demographics
NPI:1225465933
Name:RAMSEY, ANDREA LYNNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LYNNE
Last Name:RAMSEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:440 BROOKLINE AVE
Mailing Address - Street 2:MAYER 1B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5413
Mailing Address - Country:US
Mailing Address - Phone:617-582-8487
Mailing Address - Fax:617-394-3051
Practice Address - Street 1:440 BROOKLINE AVE
Practice Address - Street 2:MAYER 1B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5413
Practice Address - Country:US
Practice Address - Phone:617-582-8487
Practice Address - Fax:617-394-3051
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-10-30
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Provider Licenses
StateLicense IDTaxonomies
MAPA4854363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant