Provider Demographics
NPI:1306805429
Name:RAMEY, ELLEN S (CRNA)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:S
Last Name:RAMEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490210
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34749-0210
Mailing Address - Country:US
Mailing Address - Phone:352-326-4014
Mailing Address - Fax:
Practice Address - Street 1:2472 SE 12TH ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7040
Practice Address - Country:US
Practice Address - Phone:954-328-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP759652367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL034109600Medicaid
FLG0890OtherBLUE SHIELD
FLG0890YMedicare PIN
FLG0890ZMedicare PIN
FLG0890WMedicare PIN