Healthcare Provider Details

I. General information

NPI: 1164020798
Provider Name (Legal Business Name): LISBET OGAZA RAMIREZ ARPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 10/08/2022
Certification Date: 10/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 BARCARMIL WAY
NAPLES FL
34110-0903
US

IV. Provider business mailing address

936 BARCARMIL WAY
NAPLES FL
34110-0903
US

V. Phone/Fax

Practice location:
  • Phone: 239-265-3391
  • Fax: 239-425-3214
Mailing address:
  • Phone: 239-265-3391
  • Fax: 239-425-3214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11009192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: