Provider Demographics
NPI:1396500252
Name:RAMIREZ, PATRICIA (RDN, LDN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 170TH PL
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-2328
Mailing Address - Country:US
Mailing Address - Phone:708-682-8014
Mailing Address - Fax:
Practice Address - Street 1:1275 E NORTH ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-3538
Practice Address - Country:US
Practice Address - Phone:219-663-2793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management