Provider Demographics
NPI:1831423656
Name:RAMSEY, MARISSA (CRNP-BC)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:CRNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 FLORENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-2751
Mailing Address - Country:US
Mailing Address - Phone:256-349-5275
Mailing Address - Fax:256-349-5279
Practice Address - Street 1:2095 FLORENCE BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-2751
Practice Address - Country:US
Practice Address - Phone:256-349-5275
Practice Address - Fax:256-349-5279
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-097505363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-69336OtherBCBS AL
AL184610Medicaid
AL102I507618Medicare PIN