Provider Demographics
NPI:1497810485
Name:BOCK, RAMONA JEANNE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:JEANNE
Last Name:BOCK
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125A MEDICAL CIR
Mailing Address - Street 2:WINCHESTER NEUROLOGICAL CONSULTANTS
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3322
Mailing Address - Country:US
Mailing Address - Phone:540-667-1828
Mailing Address - Fax:540-722-3195
Practice Address - Street 1:125A MEDICAL CIR
Practice Address - Street 2:WINCHESTER NEUROLOGICAL CONSULTANTS
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3322
Practice Address - Country:US
Practice Address - Phone:540-667-1828
Practice Address - Fax:540-722-3195
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173096363LF0000X
IN71001783A363LF0000X
IL209.006745363LF0000X
WI160334-030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1986001Medicare PIN
INQ25237Medicare UPIN
ILIL1986001Medicare PIN