Provider Demographics
NPI:1639637069
Name:SOSA, REBECCA KAYE RAMAZINI (APRN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA KAYE
Middle Name:RAMAZINI
Last Name:SOSA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W183S8630 SUE MARIE LN
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-9296
Mailing Address - Country:US
Mailing Address - Phone:414-559-5533
Mailing Address - Fax:
Practice Address - Street 1:W183S8630 SUE MARIE LN
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-9296
Practice Address - Country:US
Practice Address - Phone:414-559-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140643363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner