Provider Demographics
NPI:1215655535
Name:RAMIREZ, SHAMARI N
Entity type:Individual
Prefix:
First Name:SHAMARI
Middle Name:N
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N PEBBLE CREEK TER APT 203
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-4183
Mailing Address - Country:US
Mailing Address - Phone:316-293-7794
Mailing Address - Fax:
Practice Address - Street 1:3700 N CLASSEN BLVD STE 185
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2881
Practice Address - Country:US
Practice Address - Phone:405-225-1891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical