Provider Demographics
NPI:1801396981
Name:RAMSEY, PENNY LEA (APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:LEA
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11950 MACCORKLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:WV
Mailing Address - Zip Code:25315-1135
Mailing Address - Country:US
Mailing Address - Phone:304-220-2111
Mailing Address - Fax:304-220-2183
Practice Address - Street 1:11950 MACCORKLE AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:WV
Practice Address - Zip Code:25315-1135
Practice Address - Country:US
Practice Address - Phone:304-220-2111
Practice Address - Fax:304-220-2183
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN48581-AGPCNP-BC363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology