Provider Demographics
NPI:1578441481
Name:RAMIREZ, VERONICA BRAVO (RN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:BRAVO
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 N 20TH ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7268
Mailing Address - Country:US
Mailing Address - Phone:602-483-9787
Mailing Address - Fax:
Practice Address - Street 1:3232 N 20TH ST UNIT 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7268
Practice Address - Country:US
Practice Address - Phone:602-483-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ310364163WS0200X, 314000000X, 364SL0600X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care