=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568374437
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CALLIE BOATNER RAMIREZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2026
-----------------------------------------------------
Last Update Date | 09/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45234 STRINGER BRIDGE RD
-----------------------------------------------------
City | SAINT AMANT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70774-4121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-245-4966
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45234 STRINGER BRIDGE RD
-----------------------------------------------------
City | SAINT AMANT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70774-4121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 210483
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------