Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 1017564 | TX |
N | 363LN0000X | Nurse Practitioner - Neonatal | 5752-33 | WI |
N | 363LN0000X | Nurse Practitioner - Neonatal | APN20166 | TN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 20166 | TN |
NPI | 1184043416 |
---|---|
Provider Name | Charlotte Renee Felts Ramieh |
First Address | Nashville, TN 37203-1954 |
Second Address | Tyler, TX 75701-2036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1N7457 | MEDICARE (01) | TX |