Individual
CONNIE J RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 WEST US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3311
(219) 322-8210
Mailing address
505 WEST US HIGHWAY 30, SCHERERVILLE, IN 46375-2650
(219) 322-3311
(219) 322-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71000714
IN
363LF0000X
Family Nurse Practitioner
Primary
71000714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489424
ANTHEM BCBS
IN
05
—
200296640
—
IN
Enumeration date
11/20/2006
Last updated
03/10/2011
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