Provider Demographics
NPI:1366931750
Name:RAMIAH, PADMA DEVI (RN, MSN APRN FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PADMA DEVI
Middle Name:
Last Name:RAMIAH
Suffix:
Gender:F
Credentials:RN, MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 DANIEL DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8840
Mailing Address - Country:US
Mailing Address - Phone:805-937-3368
Mailing Address - Fax:805-937-3622
Practice Address - Street 1:355 DANIEL DR STE 105
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8840
Practice Address - Country:US
Practice Address - Phone:805-937-3368
Practice Address - Fax:805-937-3622
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95008966OtherFAMILY NURSE PARCTITIONER