Stacy Vroman
Physician Assistant, Medical in Kamuela, HI. Individual provider (NPI-1).
NPI number1144404757
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1144404757
- Entity type
- Individual (NPI-1)
- Name
- Stacy Vroman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2007
- Certification date
- Dec 20, 2021
- Last updated
- Dec 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | AMD 382 | HI | Yes |
Practice location
65-1235a Opelo Rd # 6Kamuela, HI 96743-8401
Phone 808-887-1210
Mailing address
Po Box 198900Pmb 128
Hawi, HI 96719
Phone 801-450-2782
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