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Individual
STACEY LANE GRUKA
Active
Individual
STACEY LANE GRUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, CNM, MSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9246057
FL
363L00000X
Nurse Practitioner
C-APN.0003341-C-CNM
CO
367A00000X
Advanced Practice Midwife
Primary
633
CT
367A00000X
Advanced Practice Midwife
APN.0997369-CNM
CO
367A00000X
Advanced Practice Midwife
ARNP9246057
FL
367A00000X
Advanced Practice Midwife
C-APN.0003341-C-CNM
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000102200
—
FL
05
—
9000200515
—
CO
Enumeration date
04/29/2008
Last updated
04/06/2026
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