Provider Demographics
NPI:1558618629
Name:RAMUS, LITISHA MARIE (FNP)
Entity Type:Individual
Prefix:MS
First Name:LITISHA
Middle Name:MARIE
Last Name:RAMUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LITISHA
Other - Middle Name:MARIE
Other - Last Name:MILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2555 N. MARTIN LUTHER KING JR., DRIVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212
Mailing Address - Country:US
Mailing Address - Phone:414-372-8080
Mailing Address - Fax:414-562-8084
Practice Address - Street 1:2555 N. MARTIN LUTHER KING JR., DRIVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212
Practice Address - Country:US
Practice Address - Phone:414-372-8080
Practice Address - Fax:414-562-8084
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5036-33363LF0000X
WI143225-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse