Healthcare Provider Details

I. General information

NPI: 1225315617
Provider Name (Legal Business Name): AMY LYNN TRAMALONI NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG H 2005 KNIGHT LANE NAVY MEDICAL SUPPORT COMMAND
JACKSONVILLE FL
32212-0140
US

IV. Provider business mailing address

43 NEW SCOTLAND AVE
ALBANY NY
12208-3478
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-9457
  • Fax:
Mailing address:
  • Phone: 518-262-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number105120
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number350363
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: