Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN.CNP.021946 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.021946 | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.021946 | OH |
NPI | 1073025250 |
---|---|
Provider Name | Angelita Dela Fuente Ramos |
First Address | Youngstown, OH 44504-1006 |
Second Address | Centerville, OH 45458-9723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2017 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0260881 | (05) | OH |