Provider Demographics
NPI:1851861629
Name:RAMALHO, VANESSA TULOP (CLC, CLD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:TULOP
Last Name:RAMALHO
Suffix:
Gender:F
Credentials:CLC, CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WHITEBIRCH CT
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-3426
Mailing Address - Country:US
Mailing Address - Phone:856-905-6614
Mailing Address - Fax:
Practice Address - Street 1:44 WHITEBIRCH CT
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-3426
Practice Address - Country:US
Practice Address - Phone:856-905-6614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAALPP-309306174N00000X
NJ5-201905374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN