MEDICARE: VALERIE J RAMSI CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	26NO11842800	NJ
2	367500000X	Certified Registered Nurse Anesthetist	26NJ00237600	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00795724	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71293	OTHER	NJ	AANA

General Provider Information

NPI Number	:	1326058405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE J RAMSI CRNA

Provider Business Mailing Address
First Line	:	PO BOX 650782
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0782
Country	:	US
Telephone Number	:	866-709-4546
Fax Number	:	302-733-0854

Provider Business Practice Location Address
First Line	:	1505 W SHERMAN AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-7059
Country	:	US
Telephone Number	:	856-641-8000
Fax Number	:	856-641-7671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	06/10/2015

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