Individual
TYLER WOLF RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PCCN
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6833
(803) 434-6430
(803) 545-5353
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
29779
SC
363LF0000X
Family Nurse Practitioner
Primary
29779
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/13/2024
Last updated
02/13/2026
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