Provider Demographics
NPI:1518392448
Name:RAMOS, RUBY TAN (NP)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:TAN
Last Name:RAMOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:13113 GIRO DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-6600
Mailing Address - Country:US
Mailing Address - Phone:661-345-9964
Mailing Address - Fax:702-703-5598
Practice Address - Street 1:3150 W SAHARA AVE STE B11
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6065
Practice Address - Country:US
Practice Address - Phone:702-703-5597
Practice Address - Fax:702-703-5598
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRN75518163WD0400X
CARN770183363L00000X
CA23828363LF0000X
NV857060363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770183OtherCALIFORNIA BOARD OF REGISTERED NURSING
CA23828OtherCALIFORNIA BOARD OF REGISTERED NURSING
NV857060OtherNEVADA STATE BOARD OF NURSING
NVTRN336934OtherNEVADA STATE BOARD OF NURSING