Provider Demographics
NPI:1730518051
Name:RAMIREZ LOPEZ, CAPRICA JOY (APRN)
Entity type:Individual
Prefix:MRS
First Name:CAPRICA
Middle Name:JOY
Last Name:RAMIREZ LOPEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAPRICA
Other - Middle Name:JOY
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:13040 12TH AVE SW APT 3
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-4006
Mailing Address - Country:US
Mailing Address - Phone:715-207-5861
Mailing Address - Fax:
Practice Address - Street 1:13040 12TH AVE SW APT 3
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-4006
Practice Address - Country:US
Practice Address - Phone:715-207-5861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61373236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily