Provider Demographics
NPI:1669501813
Name:ALLEN, RAMSEY (CNP)
Entity type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 W STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-4240
Mailing Address - Country:US
Mailing Address - Phone:505-885-4191
Mailing Address - Fax:505-885-4194
Practice Address - Street 1:1306 W STEVENS ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-4240
Practice Address - Country:US
Practice Address - Phone:505-885-4191
Practice Address - Fax:505-885-4194
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR28249363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health