Provider Demographics
NPI:1780006700
Name:RAMIREZ, JULIE (NP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1165
Mailing Address - Street 2:
Mailing Address - City:TRES PINOS
Mailing Address - State:CA
Mailing Address - Zip Code:95075-1165
Mailing Address - Country:US
Mailing Address - Phone:831-596-0524
Mailing Address - Fax:831-789-1865
Practice Address - Street 1:61 SADDLE COURT
Practice Address - Street 2:
Practice Address - City:TRES PINOS
Practice Address - State:CA
Practice Address - Zip Code:95075
Practice Address - Country:US
Practice Address - Phone:831-596-0524
Practice Address - Fax:831-789-1865
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23772363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner