Ratliff, Irene Mai

Ratliff, Irene Mai is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ratliff, Irene Mai can be contacted via phone (804) 765-5000.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55570 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024167773 Virginia

Profile Details

NPI number 1285785592
LBN Legal business name Ratliff, Irene Mai
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285785592 NPPES
North Carolina MEDICAID 8052965
North Carolina MEDICAID 916305204
North Carolina MEDICAID 200425660A

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