Provider Demographics
NPI:1548742091
Name:RAMSEY WELLNESS CLINIC, PLLC
Entity Type:Organization
Organization Name:RAMSEY WELLNESS CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT ALLAN
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-442-2478
Mailing Address - Street 1:PO BOX 52691
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-0135
Mailing Address - Country:US
Mailing Address - Phone:480-442-2478
Mailing Address - Fax:480-420-6215
Practice Address - Street 1:10854 E RAMONA AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-2566
Practice Address - Country:US
Practice Address - Phone:480-442-2478
Practice Address - Fax:480-420-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5473363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty