Provider Demographics
NPI:1124616586
Name:RAMOS, MAVERICK CASEY
Entity type:Individual
Prefix:
First Name:MAVERICK
Middle Name:CASEY
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2306
Mailing Address - Country:US
Mailing Address - Phone:740-704-2328
Mailing Address - Fax:
Practice Address - Street 1:80 CHARLES ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6185
Practice Address - Country:US
Practice Address - Phone:740-704-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker