MEDICARE: MRS. ARBIE MARIE BARAWID RAMOS APN-C

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	363L00000X	Nurse Practitioner	26NJ00666800	NJ

General Provider Information

NPI Number	:	1518414804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARBIE MARIE BARAWID RAMOS APN-C

Provider Business Mailing Address
First Line	:	1083 SCHENCKS MILL LINE RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-3320
Country	:	US
Telephone Number	:	732-341-6814
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 SCHENCKS MILL LINE RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-3320
Country	:	US
Telephone Number	:	732-341-6814
Fax Number	:

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

Provider Enumeration Date	:	09/05/2016
Last Update Date	:	09/05/2016

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