Provider Demographics
NPI:1598121675
Name:RAMEAU, ROSE NEHEMIE (LPN)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:NEHEMIE
Last Name:RAMEAU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:NEHEMIE
Other - Last Name:METELLUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:3011 11TH ST W
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-5353
Mailing Address - Country:US
Mailing Address - Phone:239-540-7385
Mailing Address - Fax:
Practice Address - Street 1:4216 SW 5TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-5898
Practice Address - Country:US
Practice Address - Phone:239-540-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5180639164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse