Provider Demographics
NPI:1760043855
Name:RAMIREZ, EVAN CHRISTIAN (RN, PHN)
Entity Type:Individual
Prefix:MR
First Name:EVAN
Middle Name:CHRISTIAN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-1284 HOOHIKI PL APT A
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2498
Practice Address - Country:US
Practice Address - Phone:808-531-3511
Practice Address - Fax:808-544-3335
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95197242163WC1500X
HI104295163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health