Provider Demographics
NPI:1508368507
Name:NINO-RAMIREZ, ISRAEL (LVN)
Entity Type:Individual
Prefix:
First Name:ISRAEL
Middle Name:
Last Name:NINO-RAMIREZ
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 SHELL ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3104
Mailing Address - Country:US
Mailing Address - Phone:214-205-2127
Mailing Address - Fax:
Practice Address - Street 1:516 SHELL ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3104
Practice Address - Country:US
Practice Address - Phone:214-205-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300503164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse