Provider Demographics
NPI:1700253416
Name:RAMOS, CHYNNA (LPN)
Entity type:Individual
Prefix:
First Name:CHYNNA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CHYNNA
Other - Middle Name:
Other - Last Name:COLBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:184 NORTON VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-2438
Mailing Address - Country:US
Mailing Address - Phone:585-369-9955
Mailing Address - Fax:
Practice Address - Street 1:184 NORTON VILLAGE LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-2438
Practice Address - Country:US
Practice Address - Phone:585-369-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10-318074164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse