Provider Demographics
NPI:1851557912
Name:RAMIREZ, NANCY (SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:BAUTISTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4328 LOMA CLARA CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3806
Mailing Address - Country:US
Mailing Address - Phone:915-591-2101
Mailing Address - Fax:915-591-2116
Practice Address - Street 1:11150 MONTWOOD DR
Practice Address - Street 2:BUILDING A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4240
Practice Address - Country:US
Practice Address - Phone:915-591-2110
Practice Address - Fax:915-591-2116
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18276235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist