# STACEY LANE GRUKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982879011
- **Gender:** F
- **Credential:** DNP, ARNP, CNM, MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN9246057 | FL | — |
| 363L00000X | Nurse Practitioner | C-APN.0003341-C-CNM | CO | — |
| 367A00000X | Advanced Practice Midwife | 633 | CT | Yes |
| 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

- **Enumeration date:** 04/29/2008
- **Last updated:** 04/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000102200 | — | FL |
| 05 | — | 9000200515 | — | CO |