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NPI Code Detail

MEDICARE: RUBY TAN RAMOS N.P.

MEDICARE: RUBY TAN RAMOS N.P.
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
1163WD0400XDiabetes Educator Registered NurseRN75518NV
2363L00000XNurse PractitionerRN770183CA
3363LF0000XFamily Nurse Practitioner23828CA
4363LP0808XPsychiatric/Mental Health Nurse Practitioner296777AZ
5363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0999636CO
6363LP0808XPsychiatric/Mental Health Nurse Practitioner857060NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TRN336934OTHERNVNEVADA STATE BOARD OF NURSING
2770183OTHERCACALIFORNIA BOARD OF REGISTERED NURSING
3APRN96777OTHERAZARIZONA STATE BOARD OF NURSING
4857060OTHERNVNEVADA STATE BOARD OF NURSING
5RN96777OTHERAZARIZONA STATE BOARD OF NURSING
6RN.1695953OTHERCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES
7APN.0999636-NPOTHERCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES
823828OTHERCACALIFORNIA BOARD OF REGISTERED NURSING

General Provider Information

NPI Number : 1518392448
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY TAN RAMOS N.P.
Provider Business Mailing Address
First Line : 13113 GIRO DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93314-6600
Country : US
Telephone Number : 661-345-9964
Fax Number : 702-703-5598
Provider Business Practice Location Address
First Line : 3311 S RAINBOW BLVD STE 108
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6596
Country : US
Telephone Number : 702-703-5597
Fax Number : 702-703-5598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 11/13/2024

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