Provider Demographics
NPI:1356301758
Name:MOSLEY, RAMONA DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:DENISE
Last Name:MOSLEY
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 1:206 ACEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-2509
Mailing Address - Country:US
Mailing Address - Phone:608-240-3223
Mailing Address - Fax:
Practice Address - Street 1:206 ACEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-2509
Practice Address - Country:US
Practice Address - Phone:608-240-3223
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33133-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse