=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679455562
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GLORIA RAMIREZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2025
-----------------------------------------------------
Last Update Date | 06/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4901 NC HIGHWAY 150 E
-----------------------------------------------------
City | BROWNS SUMMIT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27214-9719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-656-9905
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4901 NC HIGHWAY 150 E
-----------------------------------------------------
City | BROWNS SUMMIT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27214-9719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-656-9905
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine Registered Nurse
-----------------------------------------------------
License Number | 346015
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 5024588
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------