Individual
RAQUEL RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
BOX 78534, MILWAUKEE, WI 53278-8534
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041341771
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209015299
IL
Other
Enumeration date
11/18/2016
Last updated
01/30/2024
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