Provider Demographics
NPI:1710799416
Name:MOLINA RAMIREZ, VIVIANA MERCEDES (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:VIVIANA
Middle Name:MERCEDES
Last Name:MOLINA RAMIREZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13607 RED BIRCH PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-6465
Mailing Address - Country:US
Mailing Address - Phone:352-512-3931
Mailing Address - Fax:
Practice Address - Street 1:13607 RED BIRCH PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-6465
Practice Address - Country:US
Practice Address - Phone:352-512-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily