Provider Demographics
NPI:1538638028
Name:RAMCHANDANI, MAMIE ELIZABETH (APRN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:MAMIE
Middle Name:ELIZABETH
Last Name:RAMCHANDANI
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 E HIGHWAY 90 STE 300
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-9111
Mailing Address - Country:US
Mailing Address - Phone:520-263-3620
Mailing Address - Fax:
Practice Address - Street 1:5695 KING CENTRE DR STE 303
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5748
Practice Address - Country:US
Practice Address - Phone:571-200-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ218591363LW0102X
VA0024183906363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health