Healthcare Provider Details

I. General information

NPI: 1891624250
Provider Name (Legal Business Name): MS. MORGAN KACY RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN HOLDERMAN

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 E SHEFFIELD RD
GILBERT AZ
85296-7386
US

IV. Provider business mailing address

3454 E SHEFFIELD RD
GILBERT AZ
85296-7386
US

V. Phone/Fax

Practice location:
  • Phone: 614-638-0561
  • Fax:
Mailing address:
  • Phone: 614-638-0561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN179781
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: