Provider Demographics
NPI:1831943349
Name:RAMOS, MIRNA OFELIA (FNP-C)
Entity type:Individual
Prefix:
First Name:MIRNA
Middle Name:OFELIA
Last Name:RAMOS
Suffix:
Gender:F
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 1:7151 LINCOLN AVE STE A-B
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4613
Mailing Address - Country:US
Mailing Address - Phone:714-860-2030
Mailing Address - Fax:
Practice Address - Street 1:7151 LINCOLN AVE STE A-B
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4613
Practice Address - Country:US
Practice Address - Phone:714-821-6506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily