Provider Demographics
NPI:1730465725
Name:GREENWAY, RAMONA JOY (RN)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:JOY
Last Name:GREENWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6170 WINTERBERRY PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9098
Mailing Address - Country:US
Mailing Address - Phone:909-912-4257
Mailing Address - Fax:
Practice Address - Street 1:6170 WINTERBERRY PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-9098
Practice Address - Country:US
Practice Address - Phone:909-912-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA695897163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse