MEDICARE: MRS. LORETTA ROSE KRAMER PMHNP-BC,LPC, LISAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP11039	AZ
2	101Y00000X	Counselor	LPC1994	AZ
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	LISAC10114	AZ

General Provider Information

NPI Number	:	1386700441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORETTA ROSE KRAMER PMHNP-BC,LPC, LISAC

Provider Business Mailing Address
First Line	:	3038 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1501
Country	:	US
Telephone Number	:	520-744-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	3038 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1501
Country	:	US
Telephone Number	:	520-744-3131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	10/16/2025

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