Provider Demographics
NPI:1033674759
Name:RAMOS, ROWENA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ROWENA
Other - Middle Name:S
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4340 W PALACE STATION RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-6159
Mailing Address - Country:US
Mailing Address - Phone:480-388-0227
Mailing Address - Fax:
Practice Address - Street 1:4340 W PALACE STATION RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85087-6159
Practice Address - Country:US
Practice Address - Phone:480-388-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily