Provider Demographics
NPI:1104905561
Name:RAMM, SUZANNE M, (ARNP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M,
Last Name:RAMM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 N. 39TH AVE.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-452-0279
Mailing Address - Fax:509-457-6306
Practice Address - Street 1:602 N. 39TH AVE.
Practice Address - Street 2:STE#200
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-452-0279
Practice Address - Fax:509-457-6306
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00114538364S00000X
WAAP30007121363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0202559OtherL&I
WA7059694Medicaid
MR1310971OtherDEA
Q58385Medicare UPIN
WA0202559OtherL&I