Basic Information
Provider Information
NPI: 1730794207
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: RACHEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DNP, NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2800 E AJO WAY
Address2:  
City: TUCSON
State: AZ
PostalCode: 857136204
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2800 E AJO WAY
Address2:  
City: TUCSON
State: AZ
PostalCode: 857136204
CountryCode: US
TelephoneNumber: 5208742000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/11/2020
LastUpdateDate: 09/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X238125AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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