Healthcare Provider Details

I. General information

NPI: 1467957308
Provider Name (Legal Business Name): CYNTHIA VANESSA RAMIREZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 BROOK SPRING DR
DALLAS TX
75224-4968
US

IV. Provider business mailing address

4427 TIERRA DR
DALLAS TX
75211-6463
US

V. Phone/Fax

Practice location:
  • Phone: 214-266-0900
  • Fax:
Mailing address:
  • Phone: 972-697-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP136738
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP136738
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: