Provider Demographics
NPI:1992836548
Name:RAMSTEAD, CLARISSA ANN (ANP)
Entity Type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:ANN
Last Name:RAMSTEAD
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:CLARISSA
Other - Middle Name:ANN
Other - Last Name:OSPINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:BLDG 80, 6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-2449
Mailing Address - Fax:415-502-9566
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:BLDG 80, 6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-2449
Practice Address - Fax:415-502-9566
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464445363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health