Provider Demographics
NPI:1518392448
Name:RAMOS, RUBY TAN (NP)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:TAN
Last Name:RAMOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:13113 GIRO DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-6600
Mailing Address - Country:US
Mailing Address - Phone:661-345-9964
Mailing Address - Fax:702-703-5598
Practice Address - Street 1:3311 S RAINBOW BLVD STE 108
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6596
Practice Address - Country:US
Practice Address - Phone:702-703-5597
Practice Address - Fax:702-703-5598
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRN75518163WD0400X
CARN770183363L00000X
CA23828363LF0000X
AZ296777363LP0808X
COAPN.0999636363LP0808X
NV857060363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVTRN336934OtherNEVADA STATE BOARD OF NURSING
CA770183OtherCALIFORNIA BOARD OF REGISTERED NURSING
AZAPRN96777OtherARIZONA STATE BOARD OF NURSING
NV857060OtherNEVADA STATE BOARD OF NURSING
AZRN96777OtherARIZONA STATE BOARD OF NURSING
CORN.1695953OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES
COAPN.0999636-NPOtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES
CA23828OtherCALIFORNIA BOARD OF REGISTERED NURSING