Provider Demographics
NPI:1598574725
Name:RAMIREZ, LEONICIA NATALIA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LEONICIA
Middle Name:NATALIA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14000 QUAIL SPRINGS PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2627
Mailing Address - Country:US
Mailing Address - Phone:405-246-0218
Mailing Address - Fax:
Practice Address - Street 1:412 SE 11TH ST
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005
Practice Address - Country:US
Practice Address - Phone:405-247-9500
Practice Address - Fax:405-247-9505
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2024058969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily