Provider Demographics
NPI:1205241486
Name:RAMOS, BLANCA ESTELA (FNP-C)
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:ESTELA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 E 14TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3363
Mailing Address - Country:US
Mailing Address - Phone:956-544-5557
Mailing Address - Fax:956-544-5100
Practice Address - Street 1:4430 E 14TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3363
Practice Address - Country:US
Practice Address - Phone:956-544-5557
Practice Address - Fax:956-544-5100
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125836363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP125836OtherAPRN LICENSE NUMBER