Provider Demographics
NPI:1154140820
Name:ADAME, RICARDO (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:ADAME
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5389 JOSE DURAN LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3184
Mailing Address - Country:US
Mailing Address - Phone:915-449-1477
Mailing Address - Fax:
Practice Address - Street 1:7100 WESTWIND DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1743
Practice Address - Country:US
Practice Address - Phone:915-974-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1156536363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner