Provider Demographics
NPI:1962288423
Name:RUIZ RAMIREZ, CONCESA MARGARITA (APRN)
Entity type:Individual
Prefix:
First Name:CONCESA
Middle Name:MARGARITA
Last Name:RUIZ RAMIREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9205 JEFFREY PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-2753
Mailing Address - Country:US
Mailing Address - Phone:626-494-9384
Mailing Address - Fax:
Practice Address - Street 1:9205 JEFFREY PL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-2753
Practice Address - Country:US
Practice Address - Phone:626-494-9384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily