MEDICARE: ELLEN S RAMEY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP759652	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G0890	OTHER	FL	BLUE SHIELD

General Provider Information

NPI Number	:	1306805429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN S RAMEY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 490210
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34749-0210
Country	:	US
Telephone Number	:	352-326-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	2472 SE 12TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7040
Country	:	US
Telephone Number	:	954-328-0414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	06/16/2010

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