Healthcare Provider Details

I. General information

NPI: 1346014867
Provider Name (Legal Business Name): MARIE LOUISE EARVOLINO-RAMIREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28901 S WESTERN AVE
RANCHO PALOS VERDES CA
90275-0828
US

IV. Provider business mailing address

904 BLUE HERON
SEAL BEACH CA
90740-5610
US

V. Phone/Fax

Practice location:
  • Phone: 424-267-6251
  • Fax:
Mailing address:
  • Phone: 512-923-0683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95026685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: