MEDICARE: MELISSA ANNE RAMIREZ M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	46449	AZ

General Provider Information

NPI Number	:	1750610184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANNE RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	3610 N 44TH ST
Second Line	:	STE 210
City	:	PHOENIX
State	:	AZ
Zip	:	85018-6059
Country	:	US
Telephone Number	:	602-441-4921
Fax Number	:	866-993-0559

Provider Business Practice Location Address
First Line	:	3610 N 44TH ST
Second Line	:	STE 210
City	:	PHOENIX
State	:	AZ
Zip	:	85018-6059
Country	:	US
Telephone Number	:	602-441-4921
Fax Number	:	866-993-0559

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

Provider Enumeration Date	:	12/14/2009
Last Update Date	:	12/19/2016

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