Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP30007121 | WA |
NPI | 1104905561 |
---|---|
Provider Name | Suzanne M, Ramm |
First Address | Yakima, WA 98902 |
Second Address | Yakima, WA 98902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 15/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0202559 | L&I (01) | WA |
7059694 | (05) | WA |
MR1310971 | DEA (01) | |
Q58385 | (02) |