Provider Demographics
NPI:1124675905
Name:RATKE, GINA MARIE
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MARIE
Last Name:RATKE
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 1:35 HUMBIRD ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-4715
Mailing Address - Country:US
Mailing Address - Phone:240-362-6250
Mailing Address - Fax:
Practice Address - Street 1:35 HUMBIRD ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4715
Practice Address - Country:US
Practice Address - Phone:240-362-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider