Provider Demographics
NPI:1053069203
Name:TRAMOUNTANIS, GRIZANCY (RN)
Entity Type:Individual
Prefix:
First Name:GRIZANCY
Middle Name:
Last Name:TRAMOUNTANIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13899 BISCAYNE BLVD STE 316
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1652
Mailing Address - Country:US
Mailing Address - Phone:305-947-6855
Mailing Address - Fax:
Practice Address - Street 1:13899 BISCAYNE BLVD STE 316
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33181-1652
Practice Address - Country:US
Practice Address - Phone:305-947-6855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9430739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse