Provider Demographics
NPI:1922081256
Name:RAMIREZ, CARMEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9963A ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-2963
Mailing Address - Country:US
Mailing Address - Phone:915-872-0477
Mailing Address - Fax:915-872-0484
Practice Address - Street 1:9963A ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:TX
Practice Address - Zip Code:79927-2963
Practice Address - Country:US
Practice Address - Phone:915-872-0477
Practice Address - Fax:915-872-0484
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145562801Medicaid
TX145562801Medicaid
TXNPO271Medicare ID - Type Unspecified