Provider Demographics
NPI:1477133668
Name:HUYNH, FATIMA RAMOS (FNP-C)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:RAMOS
Last Name:HUYNH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:FATIMA
Other - Middle Name:BICENIO
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:17872 GILLETTE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6573
Mailing Address - Country:US
Mailing Address - Phone:949-529-2041
Mailing Address - Fax:
Practice Address - Street 1:17872 GILLETTE AVE STE 240
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6573
Practice Address - Country:US
Practice Address - Phone:949-529-2041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017105363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner