Provider Demographics
NPI:1790736221
Name:RAMEY, STACY RENEE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:RENEE
Last Name:RAMEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10051 5TH ST N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2289
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:813-514-8891
Practice Address - Street 1:217 N WESTMONTE DR
Practice Address - Street 2:SUITE 1005
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3338
Practice Address - Country:US
Practice Address - Phone:321-397-7800
Practice Address - Fax:813-514-8891
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005578363LF0000X
FLARNP9229076363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011974600Medicaid
FL011974600Medicaid