Provider Demographics
NPI:1982339156
Name:RAMIREZ, AMANDA NICOLE (MSN, RN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:NICOLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MSN, RN, NP-C
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:NICOLE
Other - Last Name:COTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7313 INDIO AVE
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-6045
Mailing Address - Country:US
Mailing Address - Phone:760-668-1758
Mailing Address - Fax:
Practice Address - Street 1:555 E TACHEVAH DR STE 3W105
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5747
Practice Address - Country:US
Practice Address - Phone:760-866-0024
Practice Address - Fax:760-866-0034
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily