Provider Demographics
NPI:1558094995
Name:RAMOS, GRACE NOLASCO (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:NOLASCO
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9309 BELAIR RD STE D
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1605
Mailing Address - Country:US
Mailing Address - Phone:410-505-7952
Mailing Address - Fax:410-701-3845
Practice Address - Street 1:9309 BELAIR RD STE D
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1605
Practice Address - Country:US
Practice Address - Phone:410-505-7952
Practice Address - Fax:410-701-3845
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD158675363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty