Provider Demographics
NPI:1730962705
Name:RAMIREZ, SUSAN KATHLEEN (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:KATHLEEN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:KATHLEEN
Other - Last Name:DUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:2871 KANAKU ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-7037
Mailing Address - Country:US
Mailing Address - Phone:808-433-8140
Mailing Address - Fax:808-433-8597
Practice Address - Street 1:BUILDING 674 WAIANAE AVE
Practice Address - Street 2:2ND FLOOR, ROOM 2052
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96786
Practice Address - Country:US
Practice Address - Phone:808-433-8140
Practice Address - Fax:808-433-8597
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25342630163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management