Provider Demographics
NPI:1548765951
Name:RAMIREZ, JANE JANET (DNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:JANET
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:JANET
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:18439 N 16TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-1349
Mailing Address - Country:US
Mailing Address - Phone:928-287-6227
Mailing Address - Fax:
Practice Address - Street 1:3800 W 24TH ST # 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-9258
Practice Address - Country:US
Practice Address - Phone:928-344-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP11139363LA2200X, 363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP11139OtherARIZONA STATE BOARD OF NURSING