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NPI Code Detail

MEDICARE: RAMONA L DEROUSSEAU ARNP-C-MSN

MEDICARE:   RAMONA L DEROUSSEAU  ARNP-C-MSN
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
1363LF0000XFamily Nurse Practitioner44440KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346234713
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA L DEROUSSEAU ARNP-C-MSN
Provider Business Mailing Address
First Line : 1133 COLLEGE AVE
Second Line : BLDG. E-210
City : MANHATTAN
State : KS
Zip : 66502-2770
Country : US
Telephone Number : 785-537-1414
Fax Number : 785-537-0623
Provider Business Practice Location Address
First Line : 1133 COLLEGE AVE
Second Line : BLDG. E-210
City : MANHATTAN
State : KS
Zip : 66502-2770
Country : US
Telephone Number : 785-537-1414
Fax Number : 785-537-0623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/08/2012

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Directions to “ RAMONA L DEROUSSEAU ARNP-C-MSN” Practice Location

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