Provider Demographics
NPI:1396214623
Name:RAMSEY, AMANDA LEANN
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LEANN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 N LYNN RIGGS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3567
Mailing Address - Country:US
Mailing Address - Phone:918-923-3801
Mailing Address - Fax:918-923-3801
Practice Address - Street 1:1516 N LYNN RIGGS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3567
Practice Address - Country:US
Practice Address - Phone:918-923-3801
Practice Address - Fax:918-923-3801
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator