Provider Demographics
NPI:1770023095
Name:RAMIREZ, CAITLIN ROSE (BSN, RN, CNOR, RNFA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ROSE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:BSN, RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 SW 19TH ST
Mailing Address - Street 2:APT 13108
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-3046
Mailing Address - Country:US
Mailing Address - Phone:760-819-9461
Mailing Address - Fax:
Practice Address - Street 1:769 SW 19TH ST
Practice Address - Street 2:APT 13108
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-3046
Practice Address - Country:US
Practice Address - Phone:760-819-9461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK99552163WR0006X
TX896282163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant