Individual
MRS. CANDACE R RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1650 MIDTOWN ROAD, PERU, IL 61354
(815) 538-1351
Mailing address
1650 MIDTOWN ROAD, PERU, IL 61354
(815) 538-1351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.023551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14130
—
IL
Enumeration date
08/22/2021
Last updated
07/18/2024
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