Provider Demographics
NPI:1689002180
Name:BAEZA, RAMONA (FNP-C)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:BAEZA
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 1:1000 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4008
Mailing Address - Country:US
Mailing Address - Phone:915-533-1960
Mailing Address - Fax:915-533-2960
Practice Address - Street 1:1000 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4008
Practice Address - Country:US
Practice Address - Phone:155-331-9609
Practice Address - Fax:915-533-2960
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily