=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033375886
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHERRY LYNN RAMIREZ ACNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2008
-----------------------------------------------------
Last Update Date | 03/20/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 840 CELESTINE CIR
-----------------------------------------------------
City | VACAVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95687-7814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-816-5595
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12340 BANDERA RD STE 104
-----------------------------------------------------
City | HELOTES
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78023-4575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-920-8000
-----------------------------------------------------
Fax | 210-920-6000
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | 13551
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------