Provider Demographics
NPI:1689002180
Name:BAEZA, RAMONA (FNP-C)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:BAEZA
Suffix:
Gender:
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 1:1824 ARNOLD PALMER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3024
Mailing Address - Country:US
Mailing Address - Phone:915-252-0732
Mailing Address - Fax:
Practice Address - Street 1:220 BLACKER AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3325
Practice Address - Country:US
Practice Address - Phone:915-490-7491
Practice Address - Fax:833-685-2053
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily