MEDICARE: RAMONA ALEA 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	ARNP895132	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP895132	OTHER	FL	FL RN LICENSE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881662187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA ALEA CRNA

Provider Business Mailing Address
First Line	:	3552 SYLVAN EDGE DR
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-1037
Country	:	US
Telephone Number	:	727-781-5391
Fax Number	:	727-781-5395

Provider Business Practice Location Address
First Line	:	3552 SYLVAN EDGE DR
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-1037
Country	:	US
Telephone Number	:	727-781-5391
Fax Number	:	727-781-5395

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/08/2007

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