Healthcare Provider Details

I. General information

NPI: 1669386538
Provider Name (Legal Business Name): ROSA RAMOS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

40 JONES AVE
CHELSEA MA
02150-1333
US

V. Phone/Fax

Practice location:
  • Phone: 857-407-9705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2332837
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: