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Individual

NANCY PEREZ RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
13767 RESTINA RD, BRISTOW, VA 20136-5788
(703) 665-9488
Mailing address
13767 RESTINA RD, BRISTOW, VA 20136-5788
(703) 665-9488

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178923
VA
363L00000X
Nurse Practitioner
1152392
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024178923
NURSE PRACTITIONER
VA
01
88-3880896
FANCY FACE AESTHETICS
VA
Enumeration date
09/18/2019
Last updated
03/17/2025
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