Provider Demographics
NPI:1124678495
Name:RAMIREZ, NANCY PEREZ (FNP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:PEREZ
Last Name:RAMIREZ
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13767 RESTINA RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-5788
Mailing Address - Country:US
Mailing Address - Phone:703-665-9488
Mailing Address - Fax:
Practice Address - Street 1:13767 RESTINA RD
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-5788
Practice Address - Country:US
Practice Address - Phone:703-665-9488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1152392363L00000X
VA0024178923363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024178923OtherNURSE PRACTITIONER
VA88-3880896OtherFANCY FACE AESTHETICS