Provider Demographics
NPI:1750774170
Name:RAMSEY, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CSG, CD
Mailing Address - Street 1:3309 VALLEY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1989
Mailing Address - Country:US
Mailing Address - Phone:608-831-5286
Mailing Address - Fax:
Practice Address - Street 1:3309 VALLEY CREEK CIR
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1989
Practice Address - Country:US
Practice Address - Phone:608-831-5286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI868353133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered