Provider Demographics
NPI:1811585821
Name:BUMBREY, ROSS ANN (RN)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:ANN
Last Name:BUMBREY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5409 BUMBREY LN
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5533
Mailing Address - Country:US
Mailing Address - Phone:540-220-8629
Mailing Address - Fax:844-918-0772
Practice Address - Street 1:7851 DOLLEYS CT
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-7085
Practice Address - Country:US
Practice Address - Phone:540-220-8629
Practice Address - Fax:844-918-0772
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001211311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse