Provider Demographics
NPI:1215180203
Name:RAMIREZ, PATRICIA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:ALARCON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3017 TRAWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4330
Mailing Address - Country:US
Mailing Address - Phone:915-855-2005
Mailing Address - Fax:915-855-8400
Practice Address - Street 1:3017 TRAWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4330
Practice Address - Country:US
Practice Address - Phone:915-855-2005
Practice Address - Fax:915-855-8400
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX526571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-2919038Medicaid