Provider Demographics
NPI:1073293213
Name:RAMOS, NOEL LUCIANO (FNP-C)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:LUCIANO
Last Name:RAMOS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9039 W OLD AGAVE TRL
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-1428
Mailing Address - Country:US
Mailing Address - Phone:520-891-1807
Mailing Address - Fax:
Practice Address - Street 1:3832 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4039
Practice Address - Country:US
Practice Address - Phone:520-323-3923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ294725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily