MEDICARE: YESENIA CAMPOSANO-RAMIREZ REGISTERED NURSE

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	163WC1500X	Community Health Registered Nurse	95187129	CA

General Provider Information

NPI Number	:	1932768249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESENIA CAMPOSANO-RAMIREZ REGISTERED NURSE

Provider Business Mailing Address
First Line	:	PO BOX 542
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95061-0542
Country	:	US
Telephone Number	:	831-427-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 542
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95061-0542
Country	:	US
Telephone Number	:	831-427-3500
Fax Number	:

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

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	08/09/2024

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