Provider Demographics
NPI:1326248030
Name:MCPHERSON, RAMONA L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:L
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 COUNTY ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAMS
Mailing Address - State:NY
Mailing Address - Zip Code:14812-9708
Mailing Address - Country:US
Mailing Address - Phone:607-962-5916
Mailing Address - Fax:
Practice Address - Street 1:1811 COUNTY ROUTE 19
Practice Address - Street 2:
Practice Address - City:BEAVER DAMS
Practice Address - State:NY
Practice Address - Zip Code:14812-9708
Practice Address - Country:US
Practice Address - Phone:607-962-5916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267919164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse