Provider Demographics
NPI:1558640482
Name:TRAMMER, VERSHAY LAY'ETTE (PRACTICAL NURSE)
Entity Type:Individual
Prefix:MRS
First Name:VERSHAY
Middle Name:LAY'ETTE
Last Name:TRAMMER
Suffix:
Gender:F
Credentials:PRACTICAL NURSE
Other - Prefix:MISS
Other - First Name:VERSHAY
Other - Middle Name:LAY'ETTE
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25000 ROCKSIDE RD
Mailing Address - Street 2:APARTMENT 207
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1937
Mailing Address - Country:US
Mailing Address - Phone:216-630-8325
Mailing Address - Fax:
Practice Address - Street 1:25000 ROCKSIDE RD
Practice Address - Street 2:APARTMENT 207
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1937
Practice Address - Country:US
Practice Address - Phone:216-630-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN140011164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse