Provider Demographics
NPI:1497568521
Name:ENGRAM, RONETTA C (MBA)
Entity type:Individual
Prefix:MISS
First Name:RONETTA
Middle Name:C
Last Name:ENGRAM
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9616 FALLSRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2882
Mailing Address - Country:US
Mailing Address - Phone:513-441-1000
Mailing Address - Fax:
Practice Address - Street 1:9616 FALLSRIDGE CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2882
Practice Address - Country:US
Practice Address - Phone:513-441-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator