Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30004997 | WA |
NPI | 1033105036 |
---|---|
Provider Name | Ramona K Sherman |
First Address | Vancouver, WA 98683-8004 |
Second Address | Longview, WA 98632-3256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2005 |
Last Update Date | 03/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213501 | (05) | OR |
8905949 | CRIME VICTIMS (01) | WA |
9624933 | (05) | WA |
P00371420 | RR MEDICARE (01) | |
S80665 | (02) |