Provider Demographics
NPI:1801221924
Name:RATZLAFF, JENNAVIEVE
Entity Type:Individual
Prefix:MRS
First Name:JENNAVIEVE
Middle Name:
Last Name:RATZLAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 YOAKUM PKWY
Mailing Address - Street 2:#1313
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3872
Mailing Address - Country:US
Mailing Address - Phone:269-569-2950
Mailing Address - Fax:
Practice Address - Street 1:280 YOAKUM PKWY
Practice Address - Street 2:#1313
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3872
Practice Address - Country:US
Practice Address - Phone:269-569-2950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula