Provider Demographics
NPI:1912768763
Name:PILAR, FATIMA RAMIREZ (FNP)
Entity Type:Individual
Prefix:MRS
First Name:FATIMA
Middle Name:RAMIREZ
Last Name:PILAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 BIRCH VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-7799
Mailing Address - Country:US
Mailing Address - Phone:916-582-7704
Mailing Address - Fax:
Practice Address - Street 1:5034 BIRCH VALLEY WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-7799
Practice Address - Country:US
Practice Address - Phone:916-582-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty