Provider Demographics
NPI:1225902778
Name:RAMIREZ, JOANA DEL CARMEN (NP)
Entity type:Individual
Prefix:
First Name:JOANA DEL CARMEN
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOANA
Other - Middle Name:D
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2407 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2438
Mailing Address - Country:US
Mailing Address - Phone:620-271-1424
Mailing Address - Fax:877-271-8436
Practice Address - Street 1:705 1ST AVE STE C
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4437
Practice Address - Country:US
Practice Address - Phone:620-271-1424
Practice Address - Fax:877-272-8436
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84759-092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty