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1649259185

NPI Code Detail

MEDICARE: BRENT KEVIN RAMSEY CRNA

MEDICARE: BRENT KEVIN RAMSEY 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	RN 286588	OH
2	367500000X	Certified Registered Nurse Anesthetist	NA-12211	OH
3	367500000X	Certified Registered Nurse Anesthetist	5351	NC
4	367500000X	Certified Registered Nurse Anesthetist	L6-0A00614	DE
5	367500000X	Certified Registered Nurse Anesthetist	AP09019	LA
6	163W00000X	Registered Nurse	283188	NC
7	163W00000X	Registered Nurse	L1-0038468	DE
8	163W00000X	Registered Nurse	RN153321	LA
9	163W00000X	Registered Nurse	113635	AK

General Provider Information

NPI Number	:	1649259185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENT KEVIN RAMSEY CRNA

Provider Business Mailing Address
First Line	:	171 NANDINA CT
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-8939
Country	:	US
Telephone Number	:	910-644-2998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2390 W CONGRESS ST
Second Line	:	UNIVERSITY HOSPITAL & CLINICS
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4205
Country	:	US
Telephone Number	:	337-261-6000
Fax Number	:

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/27/2016

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Directions to “ BRENT KEVIN RAMSEY CRNA” Practice Location

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