MEDICARE: TIA RAMIREZ APRN

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	163W00000X	Registered Nurse	178400	AZ
2	363LF0000X	Family Nurse Practitioner	AP60813323	WA
3	364S00000X	Clinical Nurse Specialist	APRN26974	SC

General Provider Information

NPI Number	:	1619481421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIA RAMIREZ APRN

Provider Business Mailing Address
First Line	:	506 E CHEVES ST STE 202
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29506-2616
Country	:	US
Telephone Number	:	843-366-2940
Fax Number	:	843-366-2470

Provider Business Practice Location Address
First Line	:	3781 MCDOWELL LN STE 210
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-8930
Country	:	US
Telephone Number	:	843-366-2940
Fax Number	:	843-366-2470

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

Provider Enumeration Date	:	12/01/2017
Last Update Date	:	10/27/2025

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Directions to “ TIA RAMIREZ APRN” Practice Location

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