MEDICARE: MR. RAMIRO ARMANDO VEGA APRN FNP

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
1	363LF0000X	Family Nurse Practitioner	1112319	TX

General Provider Information

NPI Number	:	1346945243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMIRO ARMANDO VEGA APRN FNP

Provider Business Mailing Address
First Line	:	12069 ROBERT KIRTLEY DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7216
Country	:	US
Telephone Number	:	915-241-3116
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 TRAWOOD DR STE B201
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3322
Country	:	US
Telephone Number	:	915-490-7491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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