Provider Demographics
NPI:1740269885
Name:RAMIN, NANCY J (DPM)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:RAMIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 PINE ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6510
Mailing Address - Country:US
Mailing Address - Phone:570-326-5883
Mailing Address - Fax:
Practice Address - Street 1:218 PINE ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6510
Practice Address - Country:US
Practice Address - Phone:570-326-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002485L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000037351OtherBLUE SHIELD
PA35782OtherHEALTH AMERICA
PA072485OtherHMO
PA480033108OtherTRAVELERS MEDICARE
PA0909865Medicaid
PA000037351OtherBLUE SHIELD
PA072485OtherHMO