| Doctor Name: | STACY VROMAN |
| NPI Number: | 1144404757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AMD 382 |
| Business Practice Address: | 65-1235a Opelo Rd # 6 Kamuela, HI - 967438401 |
| Business Phone Number: | 8088871210 |
| Business Fax Number: | |
| Mailing Address: | Po Box 198900, Pmb 128 HAWI |
| State: | HI |
| Postal Code: | 96719 |
| Phone Number: | 8014502782 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | AMD 382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |