Individual
ANDREA RENEE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4564
(801) 662-4833
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4564
(801) 662-4833
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8172839-4405
UT
363LP0200X
Pediatric Nurse Practitioner
AP4301
AZ
Other
Enumeration date
11/28/2011
Last updated
05/17/2013
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