Healthcare Provider Details

I. General information

NPI: 1871141804
Provider Name (Legal Business Name): KARLA P RAMIREZ-CANALES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLA P MALDONADO CRNP

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 NOLL DR STE 300
LANCASTER PA
17603-7609
US

IV. Provider business mailing address

2170 NOLL DR STE 300
LANCASTER PA
17603-7609
US

V. Phone/Fax

Practice location:
  • Phone: 717-909-0290
  • Fax: 717-909-0292
Mailing address:
  • Phone: 717-291-8241
  • Fax: 717-735-3755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN650820
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP020857
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP020857
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: