Provider Demographics
NPI:1518713171
Name:RAMOS, LIZET GARCIA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LIZET
Middle Name:GARCIA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 N BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3701
Mailing Address - Country:US
Mailing Address - Phone:714-400-8751
Mailing Address - Fax:
Practice Address - Street 1:2480 E TOMPKINS AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5466
Practice Address - Country:US
Practice Address - Phone:725-724-2005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF04240512363LF0000X
NV878112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily