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NPI Code Detail

MEDICARE: MS. TERESA RAMOS APRN

MEDICARE: MS. TERESA RAMOS 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner202376-4405UT

General Provider Information

NPI Number : 1922004209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA RAMOS APRN
Provider Business Mailing Address
First Line : 237 26TH ST
Second Line :
City : OGDEN
State : UT
Zip : 84401-3105
Country : US
Telephone Number : 801-625-3700
Fax Number :
Provider Business Practice Location Address
First Line : 237 26TH ST
Second Line :
City : OGDEN
State : UT
Zip : 84401-3105
Country : US
Telephone Number : 801-625-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 11/23/2016

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