Provider Demographics
NPI:1649259185
Name:RAMSEY, BRENT KEVIN (CRNA)
Entity type:Individual
Prefix:
First Name:BRENT
Middle Name:KEVIN
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 NANDINA CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-8939
Mailing Address - Country:US
Mailing Address - Phone:910-644-2998
Mailing Address - Fax:
Practice Address - Street 1:2390 W CONGRESS ST
Practice Address - Street 2:UNIVERSITY HOSPITAL & CLINICS
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4205
Practice Address - Country:US
Practice Address - Phone:337-261-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 286588163W00000X
OHNA-12211367500000X
NC5351367500000X
DEL6-0A00614367500000X
LAAP09019367500000X
NC283188163W00000X
DEL1-0038468163W00000X
LARN153321163W00000X
AK113635163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse