Provider Demographics
NPI:1326183021
Name:RAMOS GUTIERREZ, JOANNE LOUISE (ARNP, MN)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:LOUISE
Last Name:RAMOS GUTIERREZ
Suffix:
Gender:F
Credentials:ARNP, MN
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:LOUISE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, MN
Mailing Address - Street 1:3295 FM 3514
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77705-7655
Mailing Address - Country:US
Mailing Address - Phone:409-727-8400
Mailing Address - Fax:
Practice Address - Street 1:3295 FM 3514
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-7655
Practice Address - Country:US
Practice Address - Phone:409-727-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120506364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP39187Medicare UPIN