Provider Demographics
NPI:1679243406
Name:RAMAGE, SHENA BETH (CRNP)
Entity Type:Individual
Prefix:
First Name:SHENA
Middle Name:BETH
Last Name:RAMAGE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 DONEY DR
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-6709
Mailing Address - Country:US
Mailing Address - Phone:484-515-0671
Mailing Address - Fax:
Practice Address - Street 1:498 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4432
Practice Address - Country:US
Practice Address - Phone:610-258-2985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily