Provider Demographics
NPI:1255938692
Name:RAMEY, BRENDA SUZETTE
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:SUZETTE
Last Name:RAMEY
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 1:10501 LICK RUN LYRA RD
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-8719
Mailing Address - Country:US
Mailing Address - Phone:740-981-6264
Mailing Address - Fax:
Practice Address - Street 1:1646 LAWSON ST
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-9009
Practice Address - Country:US
Practice Address - Phone:740-981-6264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide