Provider Demographics
NPI:1184929234
Name:RAMIREZ, BRITTANY DESHOTELS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:DESHOTELS
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:DESHOTELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 HIDDEN GROVE PL
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503
Mailing Address - Country:US
Mailing Address - Phone:337-230-6339
Mailing Address - Fax:337-706-7346
Practice Address - Street 1:208 HIDDEN GROVE PL
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-230-6339
Practice Address - Fax:337-706-7346
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200411363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical