Provider Demographics
NPI:1831760610
Name:RAMIREZ, BRIAUNA (RDN)
Entity type:Individual
Prefix:
First Name:BRIAUNA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4822 W ST ANNE AVE
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6318
Mailing Address - Country:US
Mailing Address - Phone:480-258-8328
Mailing Address - Fax:520-387-6036
Practice Address - Street 1:4822 W ST ANNE AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6318
Practice Address - Country:US
Practice Address - Phone:480-258-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86145540133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered