Provider Demographics
NPI:1720174451
Name:RAMIREZ, CAROLYN DICKERSON (RNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:DICKERSON
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:CAROLYN
Other - Middle Name:DICKERSON
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNP
Mailing Address - Street 1:5385 BELLEFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-455-8188
Mailing Address - Fax:757-728-3460
Practice Address - Street 1:100 EMANCIPATION DRIVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-728-3460
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001118207163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult