MEDICARE: CRYSTAL RAMOS RN, 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	163W00000X	Registered Nurse	95249310	CA
2	363LF0000X	Family Nurse Practitioner	95030188	CA

General Provider Information

NPI Number	:	1912752437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL RAMOS RN, FNP

Provider Business Mailing Address
First Line	:	323 MOBIL AVE STE 19
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6301
Country	:	US
Telephone Number	:	805-330-0448
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 MOBIL AVE STE 19
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6301
Country	:	US
Telephone Number	:	805-330-0448
Fax Number	:

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	12/09/2025

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