Provider Demographics
NPI:1295318822
Name:TRAMMELL, CHEYENNE M (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:CHEYENNE
Middle Name:M
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2055 HOSPITAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1981
Mailing Address - Country:US
Mailing Address - Phone:513-735-1701
Mailing Address - Fax:513-735-8995
Practice Address - Street 1:2055 HOSPITAL DR STE 200
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1981
Practice Address - Country:US
Practice Address - Phone:513-735-1701
Practice Address - Fax:513-735-8995
Is Sole Proprietor?:No
Enumeration Date:2021-05-02
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program