MEDICARE: PAM RAMIREZ RN

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN66498	NV

General Provider Information

NPI Number	:	1679883805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAM RAMIREZ RN

Provider Business Mailing Address
First Line	:	1665 OLD HOT SPRINGS RD
Second Line	:	STE 157
City	:	CARSON CITY
State	:	NV
Zip	:	89706-0782
Country	:	US
Telephone Number	:	775-687-5162
Fax Number	:	775-687-1214

Provider Business Practice Location Address
First Line	:	415 US HIGHWAY 95A S
Second Line	:	STE I 901
City	:	FERNLEY
State	:	NV
Zip	:	89408-9261
Country	:	US
Telephone Number	:	775-575-7744
Fax Number	:	775-575-7769

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

Provider Enumeration Date	:	10/21/2010
Last Update Date	:	10/21/2010

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Directions to “ PAM RAMIREZ RN” Practice Location

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