Provider Demographics
NPI:1619922671
Name:RAMIREZ, AMY R (NP)
Entity Type:Individual
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First Name:AMY
Middle Name:R
Last Name:RAMIREZ
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Gender:F
Credentials:NP
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Mailing Address - Street 1:6162 S. WILLOW DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5114
Mailing Address - Country:US
Mailing Address - Phone:303-220-9200
Mailing Address - Fax:303-220-9208
Practice Address - Street 1:13650 E MISSISSIPPI AVE
Practice Address - Street 2:100-B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3561
Practice Address - Country:US
Practice Address - Phone:303-695-1338
Practice Address - Fax:303-695-8814
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2010-09-24
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Provider Licenses
StateLicense IDTaxonomies
CO109616164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75685710Medicaid