Provider Demographics
NPI:1932096302
Name:DAVIS, RAMON LOUISE
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:LOUISE
Last Name:DAVIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 N 157TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-5480
Mailing Address - Country:US
Mailing Address - Phone:573-268-6494
Mailing Address - Fax:
Practice Address - Street 1:9002 N 157TH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-5480
Practice Address - Country:US
Practice Address - Phone:573-268-6494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion