Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26600 | TN |
NPI | 1023659539 |
---|---|
Provider Name | Maycelin Ramos |
First Address | Nashville, TN 37214-3325 |
Second Address | Seattle, WA 98121-2411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2019 |
Last Update Date | 04/08/2021 |