Provider Demographics
NPI:1689389892
Name:RAMSEY, DEANNA RAE (APRN FNP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:RAE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 WESTVILLE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:OH
Mailing Address - Zip Code:44609-9443
Mailing Address - Country:US
Mailing Address - Phone:330-257-4766
Mailing Address - Fax:
Practice Address - Street 1:2629 WESTVILLE LAKE RD
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:OH
Practice Address - Zip Code:44609-9443
Practice Address - Country:US
Practice Address - Phone:330-257-4766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0032919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner