Provider Demographics
NPI:1538997747
Name:GOMES DA SILVA FRANTZ RAMOS, MARIANA (RN)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:GOMES DA SILVA FRANTZ RAMOS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:2 COULTER RD # W1
Mailing Address - Street 2:
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-1122
Mailing Address - Country:US
Mailing Address - Phone:315-210-1303
Mailing Address - Fax:
Practice Address - Street 1:2 COULTER RD # W1
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-1122
Practice Address - Country:US
Practice Address - Phone:315-210-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY727900163WA0400X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)