Healthcare Provider Details

I. General information

NPI: 1447774740
Provider Name (Legal Business Name): DARA EUNICE RAMIREZ APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10705 HILLCREST PLZ
LA VISTA NE
68128-6703
US

IV. Provider business mailing address

PO BOX 24607
OMAHA NE
68124-0607
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-8400
  • Fax: 402-955-8401
Mailing address:
  • Phone: 402-955-5400
  • Fax: 402-955-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number112289
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number112289
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: