| Doctor Name: | METTE-JAYA RAMANATHAN |
| NPI Number: | 1972749232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.N.M, FNP |
| License Number: | 209.008807041.392158 |
| Business Practice Address: | 800 Broadview Village Sq Broadview, IL - 601554887 |
| Business Phone Number: | 7087315555 |
| Business Fax Number: | |
| Mailing Address: | 308n Union Ave, HAVRE DE GRACE |
| State: | MD |
| Postal Code: | 210782825 |
| Phone Number: | 4109393121 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209.008807041.392158 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |