MEDICARE: CHRISTINA ELSA RAMSEY RN, MSN, GNP, LNCC

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	363LG0600X	Gerontology Nurse Practitioner	736481	TX

General Provider Information

NPI Number	:	1700199429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ELSA RAMSEY RN, MSN, GNP, LNCC

Provider Business Mailing Address
First Line	:	4539 BARNARD ML
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5947
Country	:	US
Telephone Number	:	210-462-1978
Fax Number	:	866-413-7885

Provider Business Practice Location Address
First Line	:	4539 BARNARD ML
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5947
Country	:	US
Telephone Number	:	210-462-1978
Fax Number	:	866-413-7885

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

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	07/22/2010

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