Provider Demographics
NPI:1366210353
Name:RAMSEY, BEVERLY JO
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JO
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 1:2201 15TH ST SW LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-6935
Mailing Address - Country:US
Mailing Address - Phone:701-509-3796
Mailing Address - Fax:
Practice Address - Street 1:2201 15TH ST SW LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6935
Practice Address - Country:US
Practice Address - Phone:701-509-3796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist