Healthcare Provider Details

I. General information

NPI: 1598574725
Provider Name (Legal Business Name): LEONICIA NATALIA RAMIREZ NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 07/30/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 SE 11TH ST
ANADARKO OK
73005
US

IV. Provider business mailing address

14000 QUAIL SPRINGS PKWY STE 400
OKLAHOMA CITY OK
73134-2627
US

V. Phone/Fax

Practice location:
  • Phone: 405-247-9500
  • Fax: 405-247-9505
Mailing address:
  • Phone: 405-246-0218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024058969
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: