MEDICARE: ERICKA RAMSEY FNP-BC

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	363LF0000X	Family Nurse Practitioner	AC002429	MD

General Provider Information

NPI Number	:	1487122172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA RAMSEY FNP-BC

Provider Business Mailing Address
First Line	:	1520 COMMERCE ST STE 205
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-4468
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 BUCKEYSTOWN PIKE STE 186
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-8337
Country	:	US
Telephone Number	:	301-682-8888
Fax Number	:

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

Provider Enumeration Date	:	11/12/2018
Last Update Date	:	04/06/2019

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