Provider Demographics
NPI:1366245110
Name:RAMPAZO, PENELOPE (PA)
Entity type:Individual
Prefix:MS
First Name:PENELOPE
Middle Name:
Last Name:RAMPAZO
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2362 WILTSHIRE CT APT 201
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3152
Mailing Address - Country:US
Mailing Address - Phone:248-403-1019
Mailing Address - Fax:
Practice Address - Street 1:2362 WILTSHIRE CT APT 201
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3152
Practice Address - Country:US
Practice Address - Phone:248-403-1019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program