Healthcare Provider Details

I. General information

NPI: 1023274545
Provider Name (Legal Business Name): ANN L ST JOHN-RAMSEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HARING ST
BROOKLYN NY
11235-1655
US

IV. Provider business mailing address

2525 HARING ST
BROOKLYN NY
11235-1655
US

V. Phone/Fax

Practice location:
  • Phone: 718-769-6984
  • Fax:
Mailing address:
  • Phone: 718-769-6984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number538520-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number538520-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: