KELLY LYNNE RAMOS


Address: 5112 Archstone Ave, Tewksbury, MA 01876-1870
Phone: 9785511900

KELLY LYNNE RAMOS (NPI# 1093049165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093049165
Entity Type Individual
Full Name KELLY LYNNE RAMOS
Other Name KELLY LYNNE THERIAULT
Credential MSN, CNP
Practice Address 5112 Archstone Ave
Tewksbury
MA 01876-1870
Practice Telephone 9785511900
Mailing Telephone 9785511900
Enumeration Date 2009-09-23
Last Update Date 2017-11-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN2261903 MA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2261903 MA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 5112 ARCHSTONE AVE
City TEWKSBURY
State MA
Zip Code 01876-1870

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City TEWKSBURY
Zip Code 01876

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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