Provider Demographics
NPI:1902191166
Name:RAMIREZ HENRY, KRYSTA C (CNM)
Entity Type:Individual
Prefix:MRS
First Name:KRYSTA
Middle Name:C
Last Name:RAMIREZ HENRY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-0513
Mailing Address - Country:US
Mailing Address - Phone:660-429-2228
Mailing Address - Fax:660-262-7418
Practice Address - Street 1:415A BURKARTH RD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-3101
Practice Address - Country:US
Practice Address - Phone:660-429-2228
Practice Address - Fax:660-262-7418
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011006698367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife