Provider Demographics
NPI:1548807837
Name:RAMSEY, GWENDOLYN LOUISE
Entity type:Individual
Prefix:MS
First Name:GWENDOLYN
Middle Name:LOUISE
Last Name:RAMSEY
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 1:46400 EVANS DR APT 101
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-5552
Mailing Address - Country:US
Mailing Address - Phone:586-804-1996
Mailing Address - Fax:
Practice Address - Street 1:46400 EVANS DR APT 101
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-5552
Practice Address - Country:US
Practice Address - Phone:586-804-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide