Provider Demographics
NPI:1497235444
Name:RAMOS, ASHLEY RENAY (LVN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENAY
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14116 SIERRA VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2965
Mailing Address - Country:US
Mailing Address - Phone:214-799-8654
Mailing Address - Fax:
Practice Address - Street 1:14116 SIERRA VISTA WAY
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2965
Practice Address - Country:US
Practice Address - Phone:214-799-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319999164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse