Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 112942 | NE |
NPI | 1013558287 |
---|---|
Provider Name | John M Ramsey |
First Address | Omaha, NE 68124-2311 |
Second Address | Omaha, NE 68130-4661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2019 |
Last Update Date | 30/09/2019 |