Provider Demographics
NPI:1184270191
Name:CRAMER, CAYISA M (APRN)
Entity type:Individual
Prefix:
First Name:CAYISA
Middle Name:M
Last Name:CRAMER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11373 CORTEZ BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5405
Mailing Address - Country:US
Mailing Address - Phone:352-596-3032
Mailing Address - Fax:352-596-3066
Practice Address - Street 1:11373 CORTEZ BLVD STE 206
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5405
Practice Address - Country:US
Practice Address - Phone:352-596-3032
Practice Address - Fax:352-596-3066
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPNR11003620363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
APRN11003620OtherAPRN