Healthcare Provider Details

I. General information

NPI: 1942999438
Provider Name (Legal Business Name): BEATRIZ ARLEN RAMIREZ BURCIAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1885 BAY RD
EAST PALO ALTO CA
94303-1312
US

IV. Provider business mailing address

720 SERRA ST APT 100
STANFORD CA
94305-7226
US

V. Phone/Fax

Practice location:
  • Phone: 650-330-7400
  • Fax:
Mailing address:
  • Phone: 915-873-4799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number95266261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: