Provider Demographics
NPI:1366771313
Name:RAMSEY, AMBER MAURINE (ARNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MAURINE
Last Name:RAMSEY
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 1:930 MAR WALT DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON
Mailing Address - State:FL
Mailing Address - Zip Code:32547
Mailing Address - Country:US
Mailing Address - Phone:850-226-6801
Mailing Address - Fax:850-357-8400
Practice Address - Street 1:930 MAR WALT DRIVE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-226-6801
Practice Address - Fax:850-357-8400
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000012780363LA2200X, 363LW0102X
SC18611363LA2200X, 363LW0102X
FL9441732363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health