MEDICARE: MEREDITH HELEN RAMOS APRN

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	163WG0000X	General Practice Registered Nurse	2008003386	MO
2	363LF0000X	Family Nurse Practitioner	2014035978	MO

General Provider Information

NPI Number	:	1518361732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH HELEN RAMOS APRN

Provider Business Mailing Address
First Line	:	3801 BLUE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E NORTH AVE
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-2013
Country	:	US
Telephone Number	:	816-599-5170
Fax Number	:

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

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	07/15/2016

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