Provider Demographics
NPI:1811253388
Name:TRAMELL, MARY AMANDA (RN)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:AMANDA
Last Name:TRAMELL
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Gender:F
Credentials:RN
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Mailing Address - Street 1:1400 BLACKHORSE HILL RD
Mailing Address - Street 2:MAIL CODE #115F
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2040
Mailing Address - Country:US
Mailing Address - Phone:610-384-7711
Mailing Address - Fax:610-466-2239
Practice Address - Street 1:1400 BLACKHORSE HILL RD
Practice Address - Street 2:MAIL CODE #115F
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2040
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:610-466-2239
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN255572L163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management