Healthcare Provider Details
I. General information
NPI: 1770298994
Provider Name (Legal Business Name): HILLARY RAMONDO APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/23/2023
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5177 MARINER BLVD
SPRING HILL FL
34609-1834
US
IV. Provider business mailing address
9305 MISSISSIPPI RUN
WEEKI WACHEE FL
34613-4224
US
V. Phone/Fax
- Phone: 352-942-3068
- Fax:
- Phone: 813-310-1179
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 9173458 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 11024359 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: