Healthcare Provider Details

I. General information

NPI: 1922081256
Provider Name (Legal Business Name): CARMEN RAMIREZ DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9963A ALAMEDA AVE
SOCORRO TX
79927-2963
US

IV. Provider business mailing address

9963A ALAMEDA AVE
SOCORRO TX
79927-2963
US

V. Phone/Fax

Practice location:
  • Phone: 915-872-0477
  • Fax: 915-872-0484
Mailing address:
  • Phone: 915-872-0477
  • Fax: 915-872-0484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP105902
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number534465
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP105902
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: