Provider Demographics
NPI:1306661632
Name:PARMOON, RYAN (APRN)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:PARMOON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BRICKELL BAY DR APT 68I
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3583
Mailing Address - Country:US
Mailing Address - Phone:505-206-0549
Mailing Address - Fax:
Practice Address - Street 1:1100 BRICKELL BAY DR APT 68I
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3583
Practice Address - Country:US
Practice Address - Phone:505-206-0549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035840363LA2100X
DCNP500022007363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care