Healthcare Provider Details

I. General information

NPI: 1760025035
Provider Name (Legal Business Name): JOANNA MARIA RAMIREZ APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2019
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 OLENA AVE
WILLMAR MN
56201-4766
US

IV. Provider business mailing address

1208 OLENA AVE
WILLMAR MN
56201-4766
US

V. Phone/Fax

Practice location:
  • Phone: 612-979-2276
  • Fax: 651-925-0427
Mailing address:
  • Phone: 612-979-2276
  • Fax: 651-925-0427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7023
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: