Provider Demographics
NPI:1427459551
Name:RAMOLD, CONCEY (APRN-NP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CONCEY
Middle Name:
Last Name:RAMOLD
Suffix:
Gender:F
Credentials:APRN-NP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13906 GOLD CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2335
Mailing Address - Country:US
Mailing Address - Phone:402-932-6500
Mailing Address - Fax:402-932-6504
Practice Address - Street 1:13906 GOLD CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2335
Practice Address - Country:US
Practice Address - Phone:402-932-6500
Practice Address - Fax:402-932-6504
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111710363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health