Provider Demographics
NPI:1871543207
Name:RAMIREZ, THERESE S (DNP)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:S
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 MURCHISON DR STE 300
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2906
Mailing Address - Country:US
Mailing Address - Phone:915-533-8544
Mailing Address - Fax:915-533-8207
Practice Address - Street 1:1810 MURCHISON DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:915-533-8544
Practice Address - Fax:915-533-8207
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX544760163W00000X
TXAP105407363L00000X, 363LA2200X
CO20005363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP105407OtherAPRN LICENSE
TX544760OtherRN LICENSE
TX177964703Medicaid
TXAP105407OtherAPRN LICENSE
TX544760OtherRN LICENSE