MEDICARE: COURTNEY RAMIREZ PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G168118	IA

General Provider Information

NPI Number	:	1952043994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY RAMIREZ PMHNP-BC

Provider Business Mailing Address
First Line	:	820 S RIVERSIDE DR STE 1015
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52246-5611
Country	:	US
Telephone Number	:	210-870-7283
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 S RIVERSIDE DR STE 1015
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52246-5611
Country	:	US
Telephone Number	:	563-265-5161
Fax Number	:	319-243-7684

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

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	09/25/2024

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