Healthcare Provider Details

I. General information

NPI: 1780722447
Provider Name (Legal Business Name): JOAN MARIE RAMIREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2448 E STONE STABLE DR
TUCSON AZ
85737-4602
US

IV. Provider business mailing address

2448 E STONE STABLE DR
TUCSON AZ
85737-4602
US

V. Phone/Fax

Practice location:
  • Phone: 520-219-2728
  • Fax:
Mailing address:
  • Phone: 520-219-2728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN108576
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: