Provider Demographics
NPI:1376821249
Name:RAMLER, BRENDA LOUISE (LM, RM)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:LOUISE
Last Name:RAMLER
Suffix:
Gender:F
Credentials:LM, RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-4643
Mailing Address - Country:US
Mailing Address - Phone:805-550-6965
Mailing Address - Fax:
Practice Address - Street 1:1522 MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4643
Practice Address - Country:US
Practice Address - Phone:805-550-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO126367A00000X
CALM0008367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife