Provider Demographics
NPI:1992460240
Name:RAMOS, VANESSA (ARNP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:3716 NE 22ND PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5149
Mailing Address - Country:US
Mailing Address - Phone:786-308-5548
Mailing Address - Fax:
Practice Address - Street 1:3716 NE 22ND PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-5149
Practice Address - Country:US
Practice Address - Phone:786-308-5548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016326363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care