Provider Demographics
NPI:1336754324
Name:RAMOS, TAYLOR (PA-C)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:RAMOS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:943 N LINDER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-3395
Mailing Address - Country:US
Mailing Address - Phone:208-922-3355
Mailing Address - Fax:
Practice Address - Street 1:333 N 1ST ST STE 240
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-6132
Practice Address - Country:US
Practice Address - Phone:208-338-8900
Practice Address - Fax:208-947-1190
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2023-03-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant