Graves, Stacey K

Graves, Stacey K is an individual health care provider with primary practice located at 27 Marrows Rd , Newark DE 19713-3701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graves, Stacey K can be contacted via phone (302) 455-0900.

Contact Information

Primary practice address
27 Marrows Rd Newark DE 19713-3701
Phone: (302) 455-0900
Fax: (302) 455-0902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG-0000360 Delaware

Profile Details

NPI number 1649279399
LBN Legal business name Graves, Stacey K
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 2nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649279399 NPPES
Delaware MEDICAID 1000041379

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