Gravesande, Tricia S

Gravesande, Tricia S is an sole proprietor health care provider with primary practice located at 133 Elm St , Orange NJ 07050-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Gravesande, Tricia S can be contacted via phone (862) 224-0940.

Contact Information

Primary practice address
133 Elm St Orange NJ 07050-4001
Phone: (862) 224-0940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00959600 New Jersey

Profile Details

NPI number 1730719782
LBN Legal business name Gravesande, Tricia S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2020
Last updated Jan 17th, 2020 - about 4 years 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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