Doctor Name: | MRS. STACY HANNERS CIRRITO |
NPI Number: | 1134305105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, BC |
License Number: | ARNP9212070 |
Business Practice Address: | 5140 Sw Landing Creek Dr Palm City, FL - 349904121 |
Business Phone Number: | 5619097799 |
Business Fax Number: | |
Mailing Address: | 3360 Burns Rd, Ambulatory Surgery Department PALM BEACH GARDENS |
State: | FL |
Postal Code: | 334104323 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9212070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |