Healthcare Provider Details

I. General information

NPI: 1699411868
Provider Name (Legal Business Name): AMERICA DENISSE RAMIREZ SIERRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 E GRANT RD
TUCSON AZ
85712-2704
US

IV. Provider business mailing address

4881 E GRANT RD
TUCSON AZ
85712-2704
US

V. Phone/Fax

Practice location:
  • Phone: 520-829-6776
  • Fax: 520-829-6661
Mailing address:
  • Phone: 520-829-6776
  • Fax: 520-829-6661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number273525
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: