Provider Demographics
NPI:1134305105
Name:CIRRITO, STACY HANNERS (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:HANNERS
Last Name:CIRRITO
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MS
Other - First Name:STACY
Other - Middle Name:LEANNE
Other - Last Name:HANNERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3360 BURNS RD
Mailing Address - Street 2:AMBULATORY SURGERY DEPARTMENT
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4323
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3360 BURNS RD
Practice Address - Street 2:AMBULATORY SURGERY DEPARTMENT
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4323
Practice Address - Country:US
Practice Address - Phone:561-694-7145
Practice Address - Fax:561-694-7196
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9212070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAS144ZMedicare PIN