Provider Demographics
NPI:1609191113
Name:WHITTINGTON, RAMONA LEIGH (NP-C)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:LEIGH
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 SAMPSON ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:LA
Mailing Address - Zip Code:70669-2711
Mailing Address - Country:US
Mailing Address - Phone:337-439-1484
Mailing Address - Fax:
Practice Address - Street 1:2345 SAMPSON ST
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:LA
Practice Address - Zip Code:70669-2711
Practice Address - Country:US
Practice Address - Phone:337-439-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN102817-AP06076363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2111426Medicaid
LA2111426Medicaid