Provider Demographics
NPI:1154606424
Name:RAMIREZ, NELLIE ANN (LSATP,ADC)
Entity type:Individual
Prefix:
First Name:NELLIE
Middle Name:ANN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LSATP,ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-9625
Mailing Address - Country:US
Mailing Address - Phone:540-949-4358
Mailing Address - Fax:
Practice Address - Street 1:2000 HAMPTON DR
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-9625
Practice Address - Country:US
Practice Address - Phone:540-949-4358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000211170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS