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NPI Code Detail

MEDICARE: TRACY ANN RAMOS

MEDICARE: TRACY ANN RAMOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner198648MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NP9384OTHERMABLUE CROSS

General Provider Information

NPI Number : 1255515359
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY ANN RAMOS
Provider Business Mailing Address
First Line : 575 TURNPIKE ST STE 25
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5937
Country : US
Telephone Number : 978-290-4646
Fax Number : 978-290-4822
Provider Business Practice Location Address
First Line : 575 TURNPIKE ST STE 25
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5937
Country : US
Telephone Number : 978-290-4646
Fax Number : 978-290-4822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2007
Last Update Date : 10/11/2022

Similar Medicare Providers

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Directions to “ TRACY ANN RAMOS ” Practice Location

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