Individual
HANNAH T GRACYALNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
Mailing address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15471-33
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
15471
WI
Other
Enumeration date
06/18/2024
Last updated
08/16/2024
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