Provider Demographics
NPI:1528598570
Name:RAMIREZ, RICHARD JASON (APRN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JASON
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 ALA WAI BLVD APT 4A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-2001
Mailing Address - Country:US
Mailing Address - Phone:615-627-8302
Mailing Address - Fax:
Practice Address - Street 1:2015 ALA WAI BLVD APT 4A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2001
Practice Address - Country:US
Practice Address - Phone:615-627-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2844363LA2100X
TN22743363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care